Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.86 / $5,165.00 / $17,380.00	Facility		$415.86	$5,165.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.51 / $348.84 / $1,476.12	Professional		$253.51	$348.84	$1,476.12
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 $256.45 / $374.71 / $843.19	Professional		$256.45	$374.71	$843.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $6,564.23	Facility		$67.90	$100.00	$6,564.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $213.79 / $309.11 / $689.99	Professional		$213.79	$309.11	$689.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.23 / $495.00 / $1,404.00	Facility		$346.23	$495.00	$1,404.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.01 / $421.83 / $914.32	Professional		$266.01	$421.83	$914.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $164.56 / $373.98 / $619.48	Professional		$164.56	$373.98	$619.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $282.73 / $445.45 / $774.35	Professional		$282.73	$445.45	$774.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,887.42 / $1,951.20	Facility		$55.00	$1,887.42	$1,951.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,992.96 / $2,909.20 / $3,384.83	Professional		$1,992.96	$2,909.20	$3,384.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $337.34	Professional		$32.34	$32.34	$337.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $228.27 / $384.19 / $645.29	Facility		$228.27	$384.19	$645.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $271.11 / $474.03 / $1,000.74	Professional		$271.11	$474.03	$1,000.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $915.89 / $915.89 / $1,347.46	Professional		$915.89	$915.89	$1,347.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $207.52 / $311.27 / $573.94	Professional		$207.52	$311.27	$573.94
United Facility/Professional Facility Modifier Low / Median / High Price $740.00 / $3,928.00 / $9,131.00	Facility		$740.00	$3,928.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $290.64 / $407.16 / $1,019.03	Professional		$290.64	$407.16	$1,019.03