Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $5,382.00 / $16,713.00	Facility		$462.00	$5,382.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.94 / $323.02 / $1,714.27	Professional		$265.94	$323.02	$1,714.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,597.00 / $9,381.00	Facility		$1,787.00	$4,597.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.55 / $405.10 / $804.65	Professional		$295.55	$405.10	$804.65
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 $253.43 / $352.95 / $797.50	Professional		$253.43	$352.95	$797.50
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 $290.23 / $406.63 / $855.52	Professional		$290.23	$406.63	$855.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $180.94 / $454.41 / $638.86	Professional		$180.94	$454.41	$638.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $351.13 / $480.26 / $801.99	Professional		$351.13	$480.26	$801.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,587.16 / $1,754.79 / $16,394.00	Facility		$1,587.16	$1,754.79	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,452.23 / $2,814.64 / $3,288.60	Professional		$2,452.23	$2,814.64	$3,288.60
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 $357.52 / $450.78 / $622.53	Facility		$357.52	$450.78	$622.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $298.98 / $436.16 / $898.02	Professional		$298.98	$436.16	$898.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,063.67 / $1,063.67 / $1,201.92	Professional		$1,063.67	$1,063.67	$1,201.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $253.31 / $375.33 / $525.61	Professional		$253.31	$375.33	$525.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,048.00 / $4,060.00 / $9,072.00	Facility		$2,048.00	$4,060.00	$9,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $268.76 / $358.63 / $910.52	Professional		$268.76	$358.63	$910.52