Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $5,505.00 / $16,713.00	Facility		$462.00	$5,505.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.25 / $361.08 / $1,374.07	Professional		$310.25	$361.08	$1,374.07
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 $353.83 / $484.99 / $980.65	Professional		$353.83	$484.99	$980.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,919.63	Facility		$66.00	$100.00	$6,919.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $291.64 / $410.01 / $929.14	Professional		$291.64	$410.01	$929.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.20 / $253.65 / $1,992.00	Facility		$253.20	$253.65	$1,992.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.07 / $483.41 / $978.98	Professional		$370.07	$483.41	$978.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $418.47 / $552.44 / $709.83	Professional		$418.47	$552.44	$709.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $429.39 / $583.29 / $968.79	Professional		$429.39	$583.29	$968.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,952.48 / $2,146.94 / $16,394.00	Facility		$1,952.48	$2,146.94	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.68 / $3,421.84 / $4,002.98	Professional		$3,019.68	$3,421.84	$4,002.98
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 $392.50 / $546.91 / $745.25	Facility		$392.50	$546.91	$745.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $372.64 / $516.01 / $1,036.00	Professional		$372.64	$516.01	$1,036.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,152.43 / $1,152.43 / $1,277.46	Professional		$1,152.43	$1,152.43	$1,277.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $440.23 / $557.58 / $753.24	Professional		$440.23	$557.58	$753.24
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 $311.36 / $407.52 / $887.09	Professional		$311.36	$407.52	$887.09