Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.57 / $5,829.00 / $17,809.00	Facility		$537.57	$5,829.00	$17,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.89 / $439.55 / $1,387.91	Professional		$315.89	$439.55	$1,387.91
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 $358.44 / $510.26 / $1,075.59	Professional		$358.44	$510.26	$1,075.59
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 $315.99 / $464.95 / $1,030.08	Professional		$315.99	$464.95	$1,030.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $535.00 / $1,761.60 / $4,704.56	Facility		$535.00	$1,761.60	$4,704.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.35 / $535.99 / $1,170.18	Professional		$355.35	$535.99	$1,170.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $253.16 / $478.89 / $889.14	Professional		$253.16	$478.89	$889.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.45 / $559.84 / $998.03	Professional		$354.45	$559.84	$998.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,388.00 / $2,451.66 / $16,394.00	Facility		$2,388.00	$2,451.66	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,998.00 / $3,815.44 / $4,464.45	Professional		$2,998.00	$3,815.44	$4,464.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $572.29	Professional		$32.34	$32.34	$572.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $372.60 / $548.23 / $835.49	Facility		$372.60	$548.23	$835.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $362.65 / $601.97 / $1,271.30	Professional		$362.65	$601.97	$1,271.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,101.40 / $1,101.40 / $1,647.17	Professional		$1,101.40	$1,101.40	$1,647.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $319.26 / $455.15 / $731.89	Professional		$319.26	$455.15	$731.89
United Facility/Professional Facility Modifier Low / Median / High Price $705.00 / $3,786.00 / $9,072.00	Facility		$705.00	$3,786.00	$9,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $377.15 / $519.59 / $1,207.93	Professional		$377.15	$519.59	$1,207.93