Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.94 / $6,516.00 / $18,681.00	Facility		$392.94	$6,516.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.00 / $344.97 / $1,184.49	Professional		$217.00	$344.97	$1,184.49
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 $234.08 / $349.63 / $766.01	Professional		$234.08	$349.63	$766.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $7,680.36	Facility		$67.90	$100.00	$7,680.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $217.70 / $311.52 / $713.33	Professional		$217.70	$311.52	$713.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $1,761.60 / $4,904.76	Facility		$520.00	$1,761.60	$4,904.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.39 / $380.16 / $845.05	Professional		$238.39	$380.16	$845.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $190.25 / $310.31 / $668.98	Professional		$190.25	$310.31	$668.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $241.49 / $405.89 / $743.00	Professional		$241.49	$405.89	$743.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,620.96 / $1,654.50 / $26,542.00	Facility		$1,620.96	$1,654.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,708.88 / $2,818.32 / $3,309.23	Professional		$1,708.88	$2,818.32	$3,309.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $551.54	Professional		$32.34	$32.34	$551.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.81 / $366.74 / $619.85	Facility		$245.81	$366.74	$619.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $247.00 / $426.63 / $950.42	Professional		$247.00	$426.63	$950.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $734.96 / $734.96 / $1,213.42	Professional		$734.96	$734.96	$1,213.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $227.87 / $313.32 / $550.75	Professional		$227.87	$313.32	$550.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,181.00 / $7,120.00 / $15,471.00	Facility		$2,181.00	$7,120.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $278.94 / $376.10 / $948.50	Professional		$278.94	$376.10	$948.50