Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.53 / $9,674.00 / $22,788.00	Facility		$239.53	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.79 / $241.34 / $1,245.84	Professional		$206.79	$241.34	$1,245.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,873.70 / $8,947.00 / $19,298.00	Facility		$2,873.70	$8,947.00	$19,298.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.84 / $315.00 / $642.52	Professional		$237.84	$315.00	$642.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,487.90	Facility		$63.90	$100.00	$5,487.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $190.39 / $280.85 / $635.63	Professional		$190.39	$280.85	$635.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $276.41 / $750.00 / $5,431.00	Facility		$276.41	$750.00	$5,431.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.70 / $307.36 / $668.38	Professional		$236.70	$307.36	$668.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $201.79 / $249.00 / $323.70	Professional		$201.79	$249.00	$323.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $215.49 / $285.00 / $526.75	Professional		$215.49	$285.00	$526.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $584.64 / $1,300.00	Facility		$55.00	$584.64	$1,300.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,334.00 / $4,334.00 / $4,334.00	Professional		$4,334.00	$4,334.00	$4,334.00
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 $230.70 / $300.79 / $469.04	Facility		$230.70	$300.79	$469.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $239.97 / $332.61 / $646.91	Professional		$239.97	$332.61	$646.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $773.02 / $773.02 / $773.02	Professional		$773.02	$773.02	$773.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $201.79 / $275.73 / $302.68	Professional		$201.79	$275.73	$302.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.00 / $4,820.00 / $20,279.00	Facility		$1,055.00	$4,820.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.08 / $269.43 / $696.25	Professional		$199.08	$269.43	$696.25