Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.44 / $5,382.00 / $16,713.00	Facility		$467.44	$5,382.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.26 / $429.66 / $1,611.58	Professional		$284.26	$429.66	$1,611.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,597.00 / $9,381.00	Facility		$1,723.00	$4,597.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.51 / $435.50 / $870.62	Professional		$313.51	$435.50	$870.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,854.54	Facility		$66.00	$100.00	$6,854.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $294.74 / $414.15 / $939.37	Professional		$294.74	$414.15	$939.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,646.28 / $1,649.19 / $2,948.55	Facility		$1,646.28	$1,649.19	$2,948.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.72 / $496.93 / $938.58	Professional		$324.72	$496.93	$938.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $186.89 / $409.94 / $775.75	Professional		$186.89	$409.94	$775.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $321.49 / $507.02 / $876.56	Professional		$321.49	$507.02	$876.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,466.20 / $1,601.13 / $16,394.00	Facility		$1,466.20	$1,601.13	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,304.80 / $3,354.56 / $3,882.23	Professional		$2,304.80	$3,354.56	$3,882.23
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 $343.51 / $489.27 / $737.44	Facility		$343.51	$489.27	$737.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $337.11 / $533.45 / $1,089.46	Professional		$337.11	$533.45	$1,089.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $999.95 / $999.95 / $1,537.31	Professional		$999.95	$999.95	$1,537.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $261.64 / $353.53 / $638.66	Professional		$261.64	$353.53	$638.66
United Facility/Professional Facility Modifier Low / Median / High Price $3,190.00 / $7,352.00 / $14,743.00	Facility		$3,190.00	$7,352.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $355.86 / $467.91 / $1,055.33	Professional		$355.86	$467.91	$1,055.33