Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.32 / $5,829.00 / $17,809.00	Facility		$322.32	$5,829.00	$17,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.31 / $273.49 / $1,250.48	Professional		$195.31	$273.49	$1,250.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,417.00 / $9,244.00	Facility		$1,000.00	$4,417.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.46 / $306.64 / $679.62	Professional		$213.46	$306.64	$679.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $7,300.60	Facility		$65.90	$100.00	$7,300.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $171.51 / $245.01 / $558.03	Professional		$171.51	$245.01	$558.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $1,766.05 / $4,716.43	Facility		$455.00	$1,766.05	$4,716.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.00 / $360.07 / $780.51	Professional		$232.00	$360.07	$780.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $207.37 / $323.30 / $589.49	Professional		$207.37	$323.30	$589.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $250.63 / $381.81 / $671.69	Professional		$250.63	$381.81	$671.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,682.58 / $1,719.72 / $16,394.00	Facility		$1,682.58	$1,719.72	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,776.32 / $2,518.32 / $2,941.13	Professional		$1,776.32	$2,518.32	$2,941.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $488.40	Professional		$32.34	$32.34	$488.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $192.16 / $334.61 / $551.46	Facility		$192.16	$334.61	$551.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $239.89 / $398.93 / $837.04	Professional		$239.89	$398.93	$837.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $775.89 / $775.89 / $1,081.23	Professional		$775.89	$775.89	$1,081.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $237.45 / $326.49 / $485.29	Professional		$237.45	$326.49	$485.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,540.00 / $3,964.00 / $9,131.00	Facility		$1,540.00	$3,964.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.78 / $334.80 / $815.77	Professional		$239.78	$334.80	$815.77