Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.35 / $5,165.00 / $17,380.00	Facility		$450.35	$5,165.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.18 / $376.43 / $1,042.54	Professional		$152.18	$376.43	$1,042.54
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 $207.62 / $432.92 / $819.60	Professional		$207.62	$432.92	$819.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $4,970.60	Facility		$67.90	$100.00	$4,970.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $178.19 / $402.56 / $841.61	Professional		$178.19	$402.56	$841.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.00 / $1,091.68 / $3,039.51	Facility		$339.00	$1,091.68	$3,039.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.93 / $394.89 / $818.86	Professional		$172.93	$394.89	$818.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $142.22 / $212.80 / $709.71	Professional		$142.22	$212.80	$709.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.57 / $398.99 / $784.00	Professional		$158.57	$398.99	$784.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,082.16 / $1,109.46 / $12,000.00	Facility		$1,082.16	$1,109.46	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,929.00 / $2,962.24 / $3,462.45	Professional		$1,929.00	$2,962.24	$3,462.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $347.05	Professional		$32.34	$32.34	$347.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.78 / $371.19 / $664.10	Facility		$169.78	$371.19	$664.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $178.69 / $412.99 / $1,025.14	Professional		$178.69	$412.99	$1,025.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $524.67 / $524.67 / $1,343.34	Professional		$524.67	$524.67	$1,343.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $143.18 / $196.88 / $584.41	Professional		$143.18	$196.88	$584.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,433.90 / $3,964.00 / $9,131.00	Facility		$1,433.90	$3,964.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $321.93 / $434.33 / $1,005.09	Professional		$321.93	$434.33	$1,005.09