Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,848.00 / $16,573.00	Facility		$344.00	$4,848.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.34 / $301.56 / $1,585.98	Professional		$222.34	$301.56	$1,585.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.06 / $344.61 / $681.68	Professional		$256.06	$344.61	$681.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,117.38	Facility		$66.00	$100.00	$5,117.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $209.25 / $291.22 / $683.34	Professional		$209.25	$291.22	$683.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.20 / $253.65 / $1,487.00	Facility		$253.20	$253.65	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.73 / $382.66 / $807.91	Professional		$262.73	$382.66	$807.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $154.50 / $392.63 / $533.94	Professional		$154.50	$392.63	$533.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $329.53 / $452.33 / $749.39	Professional		$329.53	$452.33	$749.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,480.36 / $1,654.52 / $12,000.00	Facility		$1,480.36	$1,654.52	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.48 / $2,606.23 / $3,049.88	Professional		$2,290.48	$2,606.23	$3,049.88
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 $296.57 / $431.59 / $587.70	Facility		$296.57	$431.59	$587.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.29 / $406.36 / $853.40	Professional		$269.29	$406.36	$853.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $984.08 / $984.08 / $1,105.50	Professional		$984.08	$984.08	$1,105.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $216.31 / $356.81 / $494.30	Professional		$216.31	$356.81	$494.30
United Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,523.00 / $5,830.00	Facility		$526.00	$1,523.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $247.93 / $319.01 / $738.21	Professional		$247.93	$319.01	$738.21