Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.21 / $5,729.76 / $17,133.00	Facility		$408.21	$5,729.76	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.83 / $343.43 / $1,087.50	Professional		$243.83	$343.43	$1,087.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,417.00 / $9,244.00	Facility		$1,000.00	$4,417.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.46 / $372.09 / $786.44	Professional		$242.46	$372.09	$786.44
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 $224.91 / $338.26 / $750.86	Professional		$224.91	$338.26	$750.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $1,761.60 / $4,904.76	Facility		$455.00	$1,761.60	$4,904.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.11 / $393.53 / $814.75	Professional		$267.11	$393.53	$814.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $234.55 / $354.95 / $618.50	Professional		$234.55	$354.95	$618.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.14 / $397.74 / $702.40	Professional		$260.14	$397.74	$702.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,740.30 / $1,784.94 / $16,394.00	Facility		$1,740.30	$1,784.94	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,832.40 / $2,617.36 / $3,072.38	Professional		$1,832.40	$2,617.36	$3,072.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $308.25	Professional		$32.34	$32.34	$308.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $262.20 / $375.80 / $596.61	Facility		$262.20	$375.80	$596.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $270.38 / $445.99 / $886.40	Professional		$270.38	$445.99	$886.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $815.26 / $815.26 / $1,185.52	Professional		$815.26	$815.26	$1,185.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $248.14 / $341.19 / $509.17	Professional		$248.14	$341.19	$509.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,900.00 / $11,671.00 / $26,451.00	Facility		$2,900.00	$11,671.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $279.72 / $375.92 / $906.03	Professional		$279.72	$375.92	$906.03