Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,590.11 / $9,305.00 / $20,509.00	Facility		$1,590.11	$9,305.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.83 / $297.02 / $1,153.00	Professional		$239.83	$297.02	$1,153.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $8,484.00 / $18,150.00	Facility		$1,500.00	$8,484.00	$18,150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.20 / $360.47 / $683.33	Professional		$265.20	$360.47	$683.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.80 / $100.00 / $10,421.18	Facility		$69.80	$100.00	$10,421.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $206.49 / $311.73 / $699.17	Professional		$206.49	$311.73	$699.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $3,461.93 / $9,842.49	Facility		$633.00	$3,461.93	$9,842.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.23 / $352.01 / $774.57	Professional		$256.23	$352.01	$774.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $168.65 / $324.11 / $437.55	Professional		$168.65	$324.11	$437.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.05 / $346.01 / $669.00	Professional		$263.05	$346.01	$669.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,511.04 / $16,547.20 / $26,542.00	Facility		$1,511.04	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,976.72 / $2,020.72 / $2,302.65	Professional		$1,976.72	$2,020.72	$2,302.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $386.71	Professional		$32.34	$32.34	$386.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $271.48 / $355.91 / $577.02	Facility		$271.48	$355.91	$577.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $265.50 / $377.06 / $722.46	Professional		$265.50	$377.06	$722.46
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $8,130.00 / $8,130.00 / $8,130.00	Facility		$8,130.00	$8,130.00	$8,130.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $859.74 / $859.74 / $859.74	Professional		$859.74	$859.74	$859.74
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 $210.56 / $288.20 / $669.85	Professional		$210.56	$288.20	$669.85