Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.40 / $4,848.00 / $16,573.00	Facility		$371.40	$4,848.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.98 / $365.70 / $1,888.96	Professional		$294.98	$365.70	$1,888.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.66 / $492.37 / $946.66	Professional		$375.66	$492.37	$946.66
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 $264.12 / $366.56 / $837.21	Professional		$264.12	$366.56	$837.21
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 $336.40 / $453.56 / $971.55	Professional		$336.40	$453.56	$971.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $355.98 / $467.62 / $611.60	Professional		$355.98	$467.62	$611.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.25 / $512.59 / $892.50	Professional		$380.25	$512.59	$892.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,718.17 / $1,926.98 / $12,000.00	Facility		$1,718.17	$1,926.98	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,696.32 / $2,971.20 / $3,472.88	Professional		$2,696.32	$2,971.20	$3,472.88
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 $331.36 / $490.35 / $663.13	Facility		$331.36	$490.35	$663.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $339.99 / $480.68 / $985.98	Professional		$339.99	$480.68	$985.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,172.06 / $1,172.06 / $1,271.83	Professional		$1,172.06	$1,172.06	$1,271.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $370.81 / $482.05 / $667.46	Professional		$370.81	$482.05	$667.46
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 $296.11 / $382.90 / $850.07	Professional		$296.11	$382.90	$850.07