Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $566.82 / $5,505.00 / $16,713.00	Facility		$566.82	$5,505.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.12 / $479.22 / $2,012.93	Professional		$335.12	$479.22	$2,012.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,931.00 / $11,456.00	Facility		$2,143.00	$5,931.00	$11,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.78 / $606.80 / $1,156.96	Professional		$426.78	$606.80	$1,156.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,010.49	Facility		$66.00	$100.00	$7,010.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $363.82 / $519.74 / $1,075.28	Professional		$363.82	$519.74	$1,075.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.70 / $530.94 / $1,021.33	Professional		$364.70	$530.94	$1,021.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $253.16 / $491.71 / $749.38	Professional		$253.16	$491.71	$749.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $367.29 / $552.30 / $985.88	Professional		$367.29	$552.30	$985.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,484.71 / $7,909.30 / $16,394.00	Facility		$2,484.71	$7,909.30	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,621.76 / $3,645.28 / $4,269.53	Professional		$2,621.76	$3,645.28	$4,269.53
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 $381.22 / $540.92 / $786.79	Facility		$381.22	$540.92	$786.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $368.64 / $555.10 / $1,042.00	Professional		$368.64	$555.10	$1,042.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,164.94 / $1,164.94 / $1,648.21	Professional		$1,164.94	$1,164.94	$1,648.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $329.11 / $455.70 / $693.87	Professional		$329.11	$455.70	$693.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,348.00 / $4,243.00 / $9,131.00	Facility		$2,348.00	$4,243.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $384.89 / $513.49 / $1,158.77	Professional		$384.89	$513.49	$1,158.77