Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.54 / $5,856.00 / $17,902.00	Facility		$503.54	$5,856.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.51 / $411.67 / $1,596.59	Professional		$275.51	$411.67	$1,596.59
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 $308.88 / $457.74 / $982.21	Professional		$308.88	$457.74	$982.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $7,100.20	Facility		$67.90	$100.00	$7,100.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $265.38 / $390.55 / $871.61	Professional		$265.38	$390.55	$871.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.89 / $3,461.93 / $9,842.49	Facility		$490.89	$3,461.93	$9,842.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.08 / $482.30 / $1,030.57	Professional		$313.08	$482.30	$1,030.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $223.38 / $386.83 / $736.84	Professional		$223.38	$386.83	$736.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $300.31 / $473.67 / $818.72	Professional		$300.31	$473.67	$818.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,021.28 / $2,040.54 / $16,394.00	Facility		$2,021.28	$2,040.54	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,140.16 / $3,149.44 / $3,657.23	Professional		$2,140.16	$3,149.44	$3,657.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $602.08	Professional		$32.34	$32.34	$602.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $301.60 / $455.60 / $714.45	Facility		$301.60	$455.60	$714.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $320.99 / $534.87 / $1,091.93	Professional		$320.99	$534.87	$1,091.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $990.65 / $990.65 / $1,491.95	Professional		$990.65	$990.65	$1,491.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $281.70 / $390.69 / $606.66	Professional		$281.70	$390.69	$606.66
United Facility/Professional Facility Modifier Low / Median / High Price $3,570.00 / $11,671.00 / $26,451.00	Facility		$3,570.00	$11,671.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $348.10 / $472.12 / $1,348.51	Professional		$348.10	$472.12	$1,348.51