Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,812.00 / $17,902.00	Facility		$1,208.95	$5,812.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.06 / $348.74 / $1,744.99	Professional		$308.06	$348.74	$1,744.99
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 $345.86 / $462.49 / $928.16	Professional		$345.86	$462.49	$928.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $5,122.07	Facility		$67.90	$100.00	$5,122.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $281.13 / $418.84 / $938.34	Professional		$281.13	$418.84	$938.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $377.41 / $1,400.11 / $3,739.16	Facility		$377.41	$1,400.11	$3,739.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.18 / $440.00 / $946.57	Professional		$331.18	$440.00	$946.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $154.50 / $379.48 / $512.29	Professional		$154.50	$379.48	$512.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $313.93 / $412.43 / $756.12	Professional		$313.93	$412.43	$756.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,845.66 / $6,286.30 / $12,000.00	Facility		$1,845.66	$6,286.30	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,412.71 / $2,475.52 / $2,799.08	Professional		$2,412.71	$2,475.52	$2,799.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $283.42	Professional		$32.34	$32.34	$283.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $330.79 / $452.80 / $657.09	Facility		$330.79	$452.80	$657.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $337.66 / $471.37 / $905.69	Professional		$337.66	$471.37	$905.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,082.72 / $1,082.72 / $1,082.72	Professional		$1,082.72	$1,082.72	$1,082.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $154.50 / $278.11 / $421.26	Professional		$154.50	$278.11	$421.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,540.00 / $3,964.00 / $9,131.00	Facility		$1,540.00	$3,964.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $268.98 / $368.64 / $825.78	Professional		$268.98	$368.64	$825.78