Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.00 / $5,990.00 / $22,330.11	Facility		$1,335.00	$5,990.00	$22,330.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.95 / $337.48 / $1,716.41	Professional		$276.95	$337.48	$1,716.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $7,007.00 / $12,827.00	Facility		$2,275.00	$7,007.00	$12,827.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.39 / $404.55 / $832.43	Professional		$316.39	$404.55	$832.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $5,170.71	Facility		$67.90	$100.00	$5,170.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $206.10 / $302.35 / $723.99	Professional		$206.10	$302.35	$723.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $447.57 / $1,239.41 / $3,450.83	Facility		$447.57	$1,239.41	$3,450.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.08 / $412.18 / $944.46	Professional		$282.08	$412.18	$944.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $221.52 / $386.49 / $521.76	Professional		$221.52	$386.49	$521.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.20 / $425.06 / $787.93	Professional		$331.20	$425.06	$787.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,254.88 / $1,500.00 / $5,564.75	Facility		$1,254.88	$1,500.00	$5,564.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,392.88 / $2,442.96 / $2,908.58	Professional		$2,392.88	$2,442.96	$2,908.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $318.80 / $424.21 / $623.58	Facility		$318.80	$424.21	$623.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $291.77 / $442.91 / $892.21	Professional		$291.77	$442.91	$892.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,065.01 / $1,065.01 / $1,065.01	Professional		$1,065.01	$1,065.01	$1,065.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $221.52 / $350.77 / $428.71	Professional		$221.52	$350.77	$428.71
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 $256.33 / $350.10 / $807.11	Professional		$256.33	$350.10	$807.11