Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.27 / $5,165.00 / $17,380.00	Facility		$449.27	$5,165.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.45 / $377.10 / $1,644.65	Professional		$269.45	$377.10	$1,644.65
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 $291.30 / $418.77 / $898.36	Professional		$291.30	$418.77	$898.36
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 $249.12 / $374.57 / $854.62	Professional		$249.12	$374.57	$854.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.22 / $643.00 / $2,151.00	Facility		$408.22	$643.00	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.11 / $469.50 / $1,038.04	Professional		$304.11	$469.50	$1,038.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $211.47 / $417.19 / $706.82	Professional		$211.47	$417.19	$706.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $322.95 / $511.24 / $877.49	Professional		$322.95	$511.24	$877.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,157.96 / $2,208.96	Facility		$55.00	$2,157.96	$2,208.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,264.96 / $3,355.36 / $3,970.35	Professional		$2,264.96	$3,355.36	$3,970.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $391.82	Professional		$32.34	$32.34	$391.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.19 / $458.55 / $738.12	Facility		$316.19	$458.55	$738.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $308.48 / $528.88 / $1,132.19	Professional		$308.48	$528.88	$1,132.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,020.48 / $1,020.48 / $1,520.57	Professional		$1,020.48	$1,020.48	$1,520.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $266.68 / $400.01 / $654.52	Professional		$266.68	$400.01	$654.52
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 $334.50 / $457.45 / $1,122.97	Professional		$334.50	$457.45	$1,122.97