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 $223.22 / $268.57 / $1,221.33	Professional		$223.22	$268.57	$1,221.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,314.00 / $8,260.00	Facility		$873.00	$4,314.00	$8,260.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.55 / $504.69 / $924.95	Professional		$276.55	$504.69	$924.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $541.83 / $4,886.39	Facility		$67.90	$541.83	$4,886.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $179.54 / $260.23 / $506.10	Professional		$179.54	$260.23	$506.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $580.84 / $766.00 / $2,656.00	Facility		$580.84	$766.00	$2,656.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.37 / $354.75 / $812.32	Professional		$239.37	$354.75	$812.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $254.33 / $279.76 / $686.26	Professional		$254.33	$279.76	$686.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.51 / $279.76 / $517.49	Professional		$213.51	$279.76	$517.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,423.25 / $2,776.25	Facility		$55.00	$2,423.25	$2,776.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,661.36 / $1,704.64 / $1,895.63	Professional		$1,661.36	$1,704.64	$1,895.63
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 $228.35 / $283.26 / $459.16	Facility		$228.35	$283.26	$459.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $246.11 / $391.06 / $642.78	Professional		$246.11	$391.06	$642.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $757.82 / $757.82 / $757.82	Professional		$757.82	$757.82	$757.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $205.34 / $282.35 / $282.35	Professional		$205.34	$282.35	$282.35
United Facility/Professional Facility Modifier Low / Median / High Price $833.75 / $3,928.00 / $9,131.00	Facility		$833.75	$3,928.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.19 / $273.88 / $565.14	Professional		$188.19	$273.88	$565.14