Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.29 / $4,848.00 / $16,573.00	Facility		$356.29	$4,848.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.75 / $357.12 / $1,250.40	Professional		$288.75	$357.12	$1,250.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,720.00 / $10,404.00	Facility		$1,723.00	$4,720.00	$10,404.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.57 / $395.26 / $763.64	Professional		$301.57	$395.26	$763.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,403.01	Facility		$66.00	$100.00	$5,403.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $260.24 / $359.83 / $840.20	Professional		$260.24	$359.83	$840.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $3,101.23 / $5,554.45	Facility		$1,487.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.37 / $432.30 / $897.99	Professional		$315.37	$432.30	$897.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $124.35 / $473.01 / $656.11	Professional		$124.35	$473.01	$656.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.70 / $491.87 / $843.39	Professional		$363.70	$491.87	$843.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,640.84 / $1,820.96 / $12,000.00	Facility		$1,640.84	$1,820.96	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,535.92 / $2,876.08 / $3,362.18	Professional		$2,535.92	$2,876.08	$3,362.18
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 $346.70 / $479.05 / $656.11	Facility		$346.70	$479.05	$656.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $317.60 / $457.56 / $937.05	Professional		$317.60	$457.56	$937.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,095.73 / $1,095.73 / $1,224.35	Professional		$1,095.73	$1,095.73	$1,224.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $174.09 / $390.73 / $539.85	Professional		$174.09	$390.73	$539.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,150.00 / $4,213.00 / $9,072.00	Facility		$2,150.00	$4,213.00	$9,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $283.77 / $364.79 / $785.54	Professional		$283.77	$364.79	$785.54