Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $460.43 / $6,588.00 / $19,860.00	Facility		$460.43	$6,588.00	$19,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.25 / $385.61 / $1,111.31	Professional		$278.25	$385.61	$1,111.31
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 $296.24 / $426.45 / $898.93	Professional		$296.24	$426.45	$898.93
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 $265.69 / $379.55 / $843.68	Professional		$265.69	$379.55	$843.68
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 $298.43 / $443.78 / $871.14	Professional		$298.43	$443.78	$871.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $168.65 / $378.59 / $656.10	Professional		$168.65	$378.59	$656.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $293.22 / $427.88 / $774.38	Professional		$293.22	$427.88	$774.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,965.24 / $2,015.88 / $26,542.00	Facility		$1,965.24	$2,015.88	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,070.71 / $2,807.92 / $3,291.83	Professional		$2,070.71	$2,807.92	$3,291.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $548.77	Professional		$32.34	$32.34	$548.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $287.85 / $413.00 / $656.75	Facility		$287.85	$413.00	$656.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $307.48 / $488.93 / $971.08	Professional		$307.48	$488.93	$971.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $930.67 / $930.67 / $1,279.30	Professional		$930.67	$930.67	$1,279.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $212.68 / $319.02 / $540.07	Professional		$212.68	$319.02	$540.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $7,042.00 / $14,743.00	Facility		$1,300.00	$7,042.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $418.00 / $1,001.88	Professional		$308.00	$418.00	$1,001.88