Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.10 / $5,206.00 / $17,328.00	Facility		$355.10	$5,206.00	$17,328.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.78 / $328.64 / $985.56	Professional		$204.78	$328.64	$985.56
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 $221.47 / $334.12 / $732.03	Professional		$221.47	$334.12	$732.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $5,021.77	Facility		$67.90	$100.00	$5,021.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $221.80 / $316.86 / $689.39	Professional		$221.80	$316.86	$689.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $388.44 / $888.30 / $2,226.34	Facility		$388.44	$888.30	$2,226.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.02 / $370.19 / $769.67	Professional		$229.02	$370.19	$769.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $205.88 / $311.56 / $590.77	Professional		$205.88	$311.56	$590.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.37 / $372.91 / $658.58	Professional		$234.37	$372.91	$658.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,578.66 / $1,605.72 / $12,000.00	Facility		$1,578.66	$1,605.72	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.52 / $2,547.04 / $3,017.03	Professional		$1,659.52	$2,547.04	$3,017.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $458.05	Professional		$32.34	$32.34	$458.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $224.08 / $336.82 / $567.95	Facility		$224.08	$336.82	$567.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $236.58 / $413.49 / $848.80	Professional		$236.58	$413.49	$848.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $753.43 / $753.43 / $1,144.13	Professional		$753.43	$753.43	$1,144.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $215.41 / $296.19 / $486.12	Professional		$215.41	$296.19	$486.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,089.45 / $3,964.00 / $9,131.00	Facility		$1,089.45	$3,964.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $263.14 / $364.26 / $861.31	Professional		$263.14	$364.26	$861.31