Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.84 / $5,165.00 / $17,380.00	Facility		$417.84	$5,165.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.96 / $325.33 / $1,367.13	Professional		$216.96	$325.33	$1,367.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,417.00 / $9,244.00	Facility		$873.00	$4,417.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.44 / $370.81 / $776.48	Professional		$241.44	$370.81	$776.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $5,122.07	Facility		$67.90	$100.00	$5,122.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $244.92 / $349.89 / $764.43	Professional		$244.92	$349.89	$764.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $378.98 / $900.00 / $2,312.23	Facility		$378.98	$900.00	$2,312.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.32 / $394.49 / $840.31	Professional		$257.32	$394.49	$840.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $209.98 / $317.76 / $557.96	Professional		$209.98	$317.76	$557.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $230.35 / $359.04 / $636.70	Professional		$230.35	$359.04	$636.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,556.28 / $1,567.44 / $12,000.00	Facility		$1,556.28	$1,567.44	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,654.16 / $2,405.76 / $2,770.65	Professional		$1,654.16	$2,405.76	$2,770.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $458.66	Professional		$32.34	$32.34	$458.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.84 / $352.87 / $557.96	Facility		$239.84	$352.87	$557.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $264.33 / $429.23 / $844.37	Professional		$264.33	$429.23	$844.37
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $767.17 / $767.17 / $1,126.60	Professional		$767.17	$767.17	$1,126.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $217.15 / $298.58 / $459.42	Professional		$217.15	$298.58	$459.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,067.58 / $3,964.00 / $9,131.00	Facility		$1,067.58	$3,964.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $269.64 / $375.89 / $859.17	Professional		$269.64	$375.89	$859.17