Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.52 / $5,829.00 / $17,809.00	Facility		$367.52	$5,829.00	$17,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.14 / $313.55 / $1,343.35	Professional		$240.14	$313.55	$1,343.35
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 $272.02 / $374.94 / $753.00	Professional		$272.02	$374.94	$753.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $7,344.10	Facility		$67.90	$100.00	$7,344.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $239.24 / $351.47 / $790.16	Professional		$239.24	$351.47	$790.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $3,461.93 / $9,842.49	Facility		$455.00	$3,461.93	$9,842.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.66 / $379.84 / $782.51	Professional		$269.66	$379.84	$782.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $213.33 / $329.85 / $532.45	Professional		$213.33	$329.85	$532.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.94 / $355.89 / $638.07	Professional		$262.94	$355.89	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,778.46 / $1,825.50 / $16,394.00	Facility		$1,778.46	$1,825.50	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,880.56 / $2,372.00 / $2,766.53	Professional		$1,880.56	$2,372.00	$2,766.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $468.94	Professional		$32.34	$32.34	$468.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $273.86 / $391.62 / $552.13	Facility		$273.86	$391.62	$552.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $280.74 / $415.63 / $818.03	Professional		$280.74	$415.63	$818.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $833.52 / $833.52 / $1,073.95	Professional		$833.52	$833.52	$1,073.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $242.13 / $332.93 / $438.11	Professional		$242.13	$332.93	$438.11
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 $260.95 / $353.93 / $810.48	Professional		$260.95	$353.93	$810.48