Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.87 / $6,640.00 / $18,315.16	Facility		$437.87	$6,640.00	$18,315.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.34 / $367.63 / $1,359.14	Professional		$250.34	$367.63	$1,359.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $6,797.00 / $13,326.00	Facility		$1,450.00	$6,797.00	$13,326.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.83 / $391.54 / $888.71	Professional		$265.83	$391.54	$888.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $6,863.19	Facility		$67.90	$100.00	$6,863.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $243.63 / $355.18 / $796.44	Professional		$243.63	$355.18	$796.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $367.77 / $633.00 / $2,151.00	Facility		$367.77	$633.00	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.41 / $425.74 / $911.22	Professional		$272.41	$425.74	$911.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $115.04 / $348.95 / $648.36	Professional		$115.04	$348.95	$648.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $272.64 / $444.46 / $810.45	Professional		$272.64	$444.46	$810.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,832.40 / $1,832.40 / $2,000.00	Facility		$1,832.40	$1,832.40	$2,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,978.00 / $3,092.48 / $3,627.75	Professional		$1,978.00	$3,092.48	$3,627.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $363.25	Professional		$32.34	$32.34	$363.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $271.81 / $411.44 / $675.38	Facility		$271.81	$411.44	$675.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $282.39 / $475.94 / $1,032.78	Professional		$282.39	$475.94	$1,032.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $843.32 / $843.32 / $1,345.82	Professional		$843.32	$843.32	$1,345.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $145.08 / $279.23 / $600.47	Professional		$145.08	$279.23	$600.47
United Facility/Professional Facility Modifier Low / Median / High Price $977.00 / $7,029.00 / $14,743.00	Facility		$977.00	$7,029.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $307.60 / $421.68 / $994.67	Professional		$307.60	$421.68	$994.67