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 $221.29 / $268.57 / $1,210.04	Professional		$221.29	$268.57	$1,210.04
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 $262.63 / $369.25 / $736.37	Professional		$262.63	$369.25	$736.37
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $577.47 / $4,886.39	Facility		$67.90	$577.47	$4,886.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $180.52 / $257.88 / $504.40	Professional		$180.52	$257.88	$504.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $900.00 / $2,656.00	Facility		$633.00	$900.00	$2,656.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.08 / $349.81 / $787.74	Professional		$236.08	$349.81	$787.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $252.01 / $277.20 / $887.44	Professional		$252.01	$277.20	$887.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $211.62 / $277.20 / $512.91	Professional		$211.62	$277.20	$512.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,133.60 / $3,590.15	Facility		$55.00	$3,133.60	$3,590.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,646.24 / $1,689.04 / $1,879.65	Professional		$1,646.24	$1,689.04	$1,879.65
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 $226.33 / $280.72 / $455.03	Facility		$226.33	$280.72	$455.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $243.06 / $385.37 / $636.97	Professional		$243.06	$385.37	$636.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $750.81 / $750.81 / $750.81	Professional		$750.81	$750.81	$750.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $203.46 / $279.76 / $279.76	Professional		$203.46	$279.76	$279.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,089.45 / $3,928.00 / $9,131.00	Facility		$1,089.45	$3,928.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.01 / $270.39 / $570.48	Professional		$189.01	$270.39	$570.48