Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.43 / $5,980.00 / $17,809.00	Facility		$421.43	$5,980.00	$17,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.48 / $340.63 / $1,069.60	Professional		$252.48	$340.63	$1,069.60
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 $269.66 / $395.74 / $826.72	Professional		$269.66	$395.74	$826.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $6,955.52	Facility		$67.90	$100.00	$6,955.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $244.72 / $359.10 / $794.16	Professional		$244.72	$359.10	$794.16
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 $283.58 / $418.71 / $902.42	Professional		$283.58	$418.71	$902.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $320.14 / $450.96 / $608.79	Professional		$320.14	$450.96	$608.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $272.25 / $396.90 / $694.58	Professional		$272.25	$396.90	$694.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,828.68 / $1,867.68 / $16,394.00	Facility		$1,828.68	$1,867.68	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,933.36 / $2,613.36 / $3,037.73	Professional		$1,933.36	$2,613.36	$3,037.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $505.59	Professional		$32.34	$32.34	$505.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $278.32 / $404.84 / $605.23	Facility		$278.32	$404.84	$605.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $294.22 / $461.51 / $920.64	Professional		$294.22	$461.51	$920.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $895.81 / $895.81 / $1,213.17	Professional		$895.81	$895.81	$1,213.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $280.38 / $355.69 / $501.20	Professional		$280.38	$355.69	$501.20
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 $289.17 / $389.97 / $921.23	Professional		$289.17	$389.97	$921.23