Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,680.00 / $8,782.00 / $20,495.00	Facility		$1,680.00	$8,782.00	$20,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.84 / $293.19 / $966.00	Professional		$189.84	$293.19	$966.00
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 $209.33 / $274.36 / $542.04	Professional		$209.33	$274.36	$542.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.80 / $100.00 / $10,063.87	Facility		$69.80	$100.00	$10,063.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $161.41 / $244.12 / $545.79	Professional		$161.41	$244.12	$545.79
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 $203.40 / $280.44 / $613.33	Professional		$203.40	$280.44	$613.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $118.02 / $259.07 / $349.74	Professional		$118.02	$259.07	$349.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.53 / $275.75 / $520.26	Professional		$209.53	$275.75	$520.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,198.50 / $7,909.30 / $26,542.00	Facility		$1,198.50	$7,909.30	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,567.36 / $1,603.12 / $1,828.58	Professional		$1,567.36	$1,603.12	$1,828.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $306.47	Professional		$32.34	$32.34	$306.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $214.95 / $282.58 / $415.00	Facility		$214.95	$282.58	$415.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $208.27 / $304.50 / $569.97	Professional		$208.27	$304.50	$569.97
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 $681.43 / $681.43 / $681.43	Professional		$681.43	$681.43	$681.43
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 $167.00 / $228.44 / $542.80	Professional		$167.00	$228.44	$542.80