Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.18 / $9,490.00 / $22,330.11	Facility		$371.18	$9,490.00	$22,330.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.87 / $310.52 / $1,206.03	Professional		$198.87	$310.52	$1,206.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,417.00 / $9,244.00	Facility		$873.00	$4,417.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.14 / $328.09 / $718.83	Professional		$213.14	$328.09	$718.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $9,241.04	Facility		$67.90	$100.00	$9,241.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $198.69 / $285.12 / $660.70	Professional		$198.69	$285.12	$660.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $1,761.60 / $4,904.76	Facility		$633.00	$1,761.60	$4,904.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.61 / $357.00 / $752.93	Professional		$220.61	$357.00	$752.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $194.34 / $294.10 / $639.40	Professional		$194.34	$294.10	$639.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $226.21 / $386.72 / $709.05	Professional		$226.21	$386.72	$709.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,516.44 / $1,551.18 / $26,542.00	Facility		$1,516.44	$1,551.18	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,598.00 / $2,681.20 / $3,150.08	Professional		$1,598.00	$2,681.20	$3,150.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $524.46	Professional		$32.34	$32.34	$524.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $191.41 / $325.57 / $592.04	Facility		$191.41	$325.57	$592.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $230.58 / $397.50 / $882.31	Professional		$230.58	$397.50	$882.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $685.04 / $685.04 / $1,147.86	Professional		$685.04	$685.04	$1,147.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $214.27 / $294.62 / $526.42	Professional		$214.27	$294.62	$526.42
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 $261.55 / $355.19 / $846.84	Professional		$261.55	$355.19	$846.84