Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,813.82 / $6,159.00 / $17,030.00	Facility		$1,813.82	$6,159.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.97 / $328.51 / $1,813.82	Professional		$262.97	$328.51	$1,813.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,977.00 / $13,707.00	Facility		$2,137.00	$5,977.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.24 / $367.30 / $753.90	Professional		$280.24	$367.30	$753.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,340.45	Facility		$66.00	$100.00	$7,340.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $224.71 / $324.77 / $751.43	Professional		$224.71	$324.77	$751.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $6,894.76 / $12,348.83	Facility		$1,992.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.97 / $425.46 / $961.50	Professional		$303.97	$425.46	$961.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $134.40 / $476.34 / $643.05	Professional		$134.40	$476.34	$643.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $376.69 / $511.77 / $920.79	Professional		$376.69	$511.77	$920.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,398.84 / $16,394.00 / $19,913.50	Facility		$1,398.84	$16,394.00	$19,913.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,722.80 / $2,790.96 / $3,238.95	Professional		$2,722.80	$2,790.96	$3,238.95
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 $359.02 / $480.00 / $669.66	Facility		$359.02	$480.00	$669.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $303.97 / $451.76 / $961.50	Professional		$303.97	$451.76	$961.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,125.44 / $1,125.44 / $1,125.44	Professional		$1,125.44	$1,125.44	$1,125.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $174.72 / $288.13 / $529.23	Professional		$174.72	$288.13	$529.23
United Facility/Professional Facility Modifier Low / Median / High Price $3,867.00 / $7,218.00 / $14,636.00	Facility		$3,867.00	$7,218.00	$14,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $253.07 / $327.60 / $776.74	Professional		$253.07	$327.60	$776.74