Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $528.40 / $5,829.00 / $17,809.00	Facility		$528.40	$5,829.00	$17,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.73 / $449.59 / $1,321.74	Professional		$326.73	$449.59	$1,321.74
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 $354.25 / $508.88 / $1,050.22	Professional		$354.25	$508.88	$1,050.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $7,230.50	Facility		$67.90	$100.00	$7,230.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $302.56 / $453.01 / $997.35	Professional		$302.56	$453.01	$997.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $535.00 / $3,461.93 / $10,261.32	Facility		$535.00	$3,461.93	$10,261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.00 / $520.38 / $1,111.68	Professional		$352.00	$520.38	$1,111.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $276.25 / $427.97 / $719.99	Professional		$276.25	$427.97	$719.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $334.69 / $489.89 / $846.81	Professional		$334.69	$489.89	$846.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,258.40 / $2,288.76 / $16,394.00	Facility		$2,258.40	$2,288.76	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,394.00 / $3,250.56 / $3,762.00	Professional		$2,394.00	$3,250.56	$3,762.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $623.04	Professional		$32.34	$32.34	$623.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $366.96 / $511.28 / $803.07	Facility		$366.96	$511.28	$803.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $361.25 / $574.35 / $1,134.48	Professional		$361.25	$574.35	$1,134.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,116.82 / $1,116.82 / $1,542.38	Professional		$1,116.82	$1,116.82	$1,542.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $276.25 / $432.20 / $615.51	Professional		$276.25	$432.20	$615.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,181.00 / $7,218.00 / $15,471.00	Facility		$2,181.00	$7,218.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $366.11 / $500.19 / $1,283.98	Professional		$366.11	$500.19	$1,283.98