Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.94 / $5,829.00 / $18,293.00	Facility		$388.94	$5,829.00	$18,293.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.96 / $331.41 / $1,335.48	Professional		$234.96	$331.41	$1,335.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $5,793.00 / $11,233.00	Facility		$1,196.00	$5,793.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.61 / $361.12 / $757.07	Professional		$239.61	$361.12	$757.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $6,863.19	Facility		$67.90	$100.00	$6,863.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $221.49 / $322.16 / $714.10	Professional		$221.49	$322.16	$714.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $1,761.60 / $4,704.56	Facility		$455.00	$1,761.60	$4,704.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.83 / $383.57 / $835.83	Professional		$258.83	$383.57	$835.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $191.36 / $327.14 / $573.76	Professional		$191.36	$327.14	$573.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.41 / $372.78 / $652.37	Professional		$251.41	$372.78	$652.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,684.44 / $1,721.10 / $16,394.00	Facility		$1,684.44	$1,721.10	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.32 / $2,441.60 / $2,846.25	Professional		$1,778.32	$2,441.60	$2,846.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $472.80	Professional		$32.34	$32.34	$472.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $253.67 / $365.18 / $562.75	Facility		$253.67	$365.18	$562.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $265.52 / $426.56 / $858.51	Professional		$265.52	$426.56	$858.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $813.13 / $813.13 / $1,118.48	Professional		$813.13	$813.13	$1,118.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $240.32 / $330.44 / $472.38	Professional		$240.32	$330.44	$472.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,540.00 / $3,964.00 / $9,131.00	Facility		$1,540.00	$3,964.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $264.33 / $362.65 / $850.34	Professional		$264.33	$362.65	$850.34