Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,390.35 / $6,423.00 / $18,483.00	Facility		$1,390.35	$6,423.00	$18,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.67 / $374.27 / $1,933.34	Professional		$309.67	$374.27	$1,933.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $5,793.00 / $11,233.00	Facility		$1,196.00	$5,793.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.04 / $460.59 / $945.46	Professional		$354.04	$460.59	$945.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $6,919.63	Facility		$67.90	$100.00	$6,919.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $243.97 / $354.74 / $846.44	Professional		$243.97	$354.74	$846.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $1,766.05 / $4,917.14	Facility		$455.00	$1,766.05	$4,917.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.25 / $460.14 / $1,056.27	Professional		$329.25	$460.14	$1,056.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $343.26 / $429.78 / $649.32	Professional		$343.26	$429.78	$649.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $356.27 / $467.63 / $843.22	Professional		$356.27	$467.63	$843.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,116.44 / $7,929.30 / $16,394.00	Facility		$2,116.44	$7,929.30	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,015.48 / $4,015.48 / $4,015.48	Professional		$4,015.48	$4,015.48	$4,015.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $546.75	Professional		$32.34	$32.34	$546.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $362.93 / $475.02 / $775.20	Facility		$362.93	$475.02	$775.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $335.00 / $498.20 / $1,005.42	Professional		$335.00	$498.20	$1,005.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,199.59 / $1,199.59 / $1,199.59	Professional		$1,199.59	$1,199.59	$1,199.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $343.26 / $476.65 / $617.87	Professional		$343.26	$476.65	$617.87
United Facility/Professional Facility Modifier Low / Median / High Price $3,087.00 / $6,955.00 / $16,173.00	Facility		$3,087.00	$6,955.00	$16,173.00
United Facility/Professional Professional Modifier Low / Median / High Price $290.79 / $398.49 / $1,068.82	Professional		$290.79	$398.49	$1,068.82