Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,454.66 / $8,212.00 / $20,509.00	Facility		$1,454.66	$8,212.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.60 / $284.23 / $981.17	Professional		$224.60	$284.23	$981.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $6,797.00 / $13,326.00	Facility		$1,500.00	$6,797.00	$13,326.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.58 / $320.57 / $642.52	Professional		$244.58	$320.57	$642.52
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 $193.25 / $291.60 / $650.34	Professional		$193.25	$291.60	$650.34
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 $244.87 / $326.60 / $704.74	Professional		$244.87	$326.60	$704.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $118.02 / $295.27 / $398.63	Professional		$118.02	$295.27	$398.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $240.12 / $315.70 / $596.28	Professional		$240.12	$315.70	$596.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,383.12 / $7,909.30 / $26,542.00	Facility		$1,383.12	$7,909.30	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,806.96 / $1,847.12 / $2,108.40	Professional		$1,806.96	$1,847.12	$2,108.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $353.97	Professional		$32.34	$32.34	$353.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $249.44 / $331.21 / $476.98	Facility		$249.44	$331.21	$476.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $249.56 / $350.50 / $665.98	Professional		$249.56	$350.50	$665.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $787.48 / $787.48 / $787.48	Professional		$787.48	$787.48	$787.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $118.02 / $212.43 / $327.92	Professional		$118.02	$212.43	$327.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,181.00 / $7,206.00 / $15,471.00	Facility		$2,181.00	$7,206.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.28 / $263.70 / $592.16	Professional		$196.28	$263.70	$592.16