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 $237.46 / $271.87 / $1,381.05	Professional		$237.46	$271.87	$1,381.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,464.00 / $10,705.00	Facility		$873.00	$4,464.00	$10,705.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.83 / $389.85 / $784.42	Professional		$270.83	$389.85	$784.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $577.47 / $5,177.85	Facility		$67.90	$577.47	$5,177.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $199.99 / $293.74 / $679.00	Professional		$199.99	$293.74	$679.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $3,209.06 / $9,123.57	Facility		$633.00	$3,209.06	$9,123.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.44 / $343.89 / $756.94	Professional		$260.44	$343.89	$756.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $286.24 / $314.86 / $3,791.51	Professional		$286.24	$314.86	$3,791.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.13 / $314.04 / $575.74	Professional		$239.13	$314.04	$575.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,388.03 / $15,338.55	Facility		$55.00	$13,388.03	$15,338.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,872.16 / $1,924.16 / $2,131.13	Professional		$1,872.16	$1,924.16	$2,131.13
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 $251.09 / $318.83 / $518.64	Facility		$251.09	$318.83	$518.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $267.82 / $367.02 / $705.64	Professional		$267.82	$367.02	$705.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $856.91 / $856.91 / $856.91	Professional		$856.91	$856.91	$856.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $231.11 / $317.77 / $317.77	Professional		$231.11	$317.77	$317.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,592.00 / $4,060.00 / $10,979.00	Facility		$1,592.00	$4,060.00	$10,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $215.73 / $296.08 / $659.22	Professional		$215.73	$296.08	$659.22