Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.17 / $5,829.00 / $17,809.00	Facility		$495.17	$5,829.00	$17,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.31 / $429.23 / $1,902.01	Professional		$310.31	$429.23	$1,902.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $5,944.00 / $13,697.00	Facility		$1,196.00	$5,944.00	$13,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $322.57 / $471.75 / $1,040.06	Professional		$322.57	$471.75	$1,040.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $9,778.71	Facility		$67.90	$100.00	$9,778.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $274.74 / $400.49 / $919.98	Professional		$274.74	$400.49	$919.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.52 / $690.86 / $2,151.00	Facility		$469.52	$690.86	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.69 / $529.28 / $1,160.58	Professional		$336.69	$529.28	$1,160.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $217.05 / $499.70 / $804.00	Professional		$217.05	$499.70	$804.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $383.62 / $580.78 / $1,028.00	Professional		$383.62	$580.78	$1,028.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,557.14 / $2,600.34	Facility		$55.00	$2,557.14	$2,600.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,682.16 / $3,803.52 / $4,501.43	Professional		$2,682.16	$3,803.52	$4,501.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $443.00	Professional		$32.34	$32.34	$443.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $329.11 / $507.88 / $832.05	Facility		$329.11	$507.88	$832.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $346.31 / $596.75 / $1,273.31	Professional		$346.31	$596.75	$1,273.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,180.14 / $1,180.14 / $1,693.46	Professional		$1,180.14	$1,180.14	$1,693.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $273.72 / $412.82 / $744.54	Professional		$273.72	$412.82	$744.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,585.00 / $7,218.00 / $15,471.00	Facility		$1,585.00	$7,218.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $366.03 / $521.20 / $1,326.01	Professional		$366.03	$521.20	$1,326.01