Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.61 / $5,165.00 / $17,380.00	Facility		$457.61	$5,165.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.31 / $385.13 / $1,522.73	Professional		$268.31	$385.13	$1,522.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,314.00 / $8,260.00	Facility		$873.00	$4,314.00	$8,260.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.72 / $429.53 / $898.96	Professional		$287.72	$429.53	$898.96
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 $256.62 / $385.57 / $859.05	Professional		$256.62	$385.57	$859.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.00 / $495.00 / $960.38	Facility		$339.00	$495.00	$960.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.44 / $453.55 / $977.59	Professional		$303.44	$453.55	$977.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $229.34 / $381.83 / $639.05	Professional		$229.34	$381.83	$639.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $296.31 / $462.24 / $801.00	Professional		$296.31	$462.24	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,992.72 / $2,000.00 / $12,000.00	Facility		$1,992.72	$2,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,108.00 / $3,071.92 / $3,573.68	Professional		$2,108.00	$3,071.92	$3,573.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $354.65	Professional		$32.34	$32.34	$354.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $299.26 / $427.10 / $678.30	Facility		$299.26	$427.10	$678.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $313.66 / $506.29 / $1,058.26	Professional		$313.66	$506.29	$1,058.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $944.84 / $944.84 / $1,380.02	Professional		$944.84	$944.84	$1,380.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $280.45 / $385.63 / $591.91	Professional		$280.45	$385.63	$591.91
United Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $1,420.00 / $5,830.00	Facility		$379.00	$1,420.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $318.87 / $436.97 / $1,014.47	Professional		$318.87	$436.97	$1,014.47