Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.08 / $4,848.00 / $16,573.00	Facility		$472.08	$4,848.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.92 / $432.69 / $2,001.08	Professional		$376.92	$432.69	$2,001.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,464.00 / $8,976.00	Facility		$1,759.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $483.84 / $613.20 / $1,223.10	Professional		$483.84	$613.20	$1,223.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,367.09	Facility		$66.00	$100.00	$5,367.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $357.97 / $491.61 / $1,112.53	Professional		$357.97	$491.61	$1,112.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.20 / $253.65 / $1,487.00	Facility		$253.20	$253.65	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.02 / $570.28 / $1,213.34	Professional		$437.02	$570.28	$1,213.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $435.67 / $572.32 / $755.31	Professional		$435.67	$572.32	$755.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $470.85 / $630.48 / $1,104.22	Professional		$470.85	$630.48	$1,104.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,166.71 / $2,384.12 / $12,000.00	Facility		$2,166.71	$2,384.12	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,345.44 / $3,665.20 / $4,272.38	Professional		$3,345.44	$3,665.20	$4,272.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $476.36 / $609.05 / $821.20	Facility		$476.36	$609.05	$821.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $443.74 / $607.57 / $1,241.94	Professional		$443.74	$607.57	$1,241.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,458.13 / $1,458.13 / $1,569.93	Professional		$1,458.13	$1,458.13	$1,569.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $453.83 / $617.21 / $816.90	Professional		$453.83	$617.21	$816.90
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,533.00 / $6,323.00	Facility		$548.00	$1,533.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $370.44 / $484.01 / $1,078.45	Professional		$370.44	$484.01	$1,078.45