Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $619.24 / $5,532.00 / $17,030.00	Facility		$619.24	$5,532.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.21 / $469.17 / $1,285.33	Professional		$167.21	$469.17	$1,285.33
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 $187.55 / $457.73 / $1,002.93	Professional		$187.55	$457.73	$1,002.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.80 / $100.00 / $5,321.49	Facility		$69.80	$100.00	$5,321.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $177.63 / $424.14 / $899.05	Professional		$177.63	$424.14	$899.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.00 / $1,658.93 / $4,716.43	Facility		$339.00	$1,658.93	$4,716.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.51 / $479.21 / $1,128.58	Professional		$188.51	$479.21	$1,128.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $210.65 / $284.38 / $967.84	Professional		$210.65	$284.38	$967.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.89 / $553.44 / $1,003.69	Professional		$185.89	$553.44	$1,003.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.44 / $1,276.20 / $12,000.00	Facility		$1,258.44	$1,276.20	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,080.06 / $3,961.52 / $4,669.43	Professional		$2,080.06	$3,961.52	$4,669.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $659.99	Professional		$32.34	$32.34	$659.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $183.80 / $442.51 / $885.51	Facility		$183.80	$442.51	$885.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $191.56 / $498.90 / $1,345.88	Professional		$191.56	$498.90	$1,345.88
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $3,445.00 / $3,445.00 / $3,445.00	Facility		$3,445.00	$3,445.00	$3,445.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $587.69 / $587.69 / $1,811.48	Professional		$587.69	$587.69	$1,811.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $191.32 / $306.85 / $797.03	Professional		$191.32	$306.85	$797.03
United Facility/Professional Facility Modifier Low / Median / High Price $977.00 / $6,838.00 / $14,636.00	Facility		$977.00	$6,838.00	$14,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $415.26 / $569.05 / $1,392.73	Professional		$415.26	$569.05	$1,392.73