Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.85 / $6,264.00 / $17,902.00	Facility		$342.85	$6,264.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.47 / $288.75 / $727.04	Professional		$207.47	$288.75	$727.04
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 $203.81 / $321.08 / $714.22	Professional		$203.81	$321.08	$714.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $5,367.09	Facility		$67.90	$100.00	$5,367.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $187.52 / $268.33 / $594.67	Professional		$187.52	$268.33	$594.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $495.00 / $1,658.93 / $4,917.14	Facility		$495.00	$1,658.93	$4,917.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.03 / $373.99 / $892.21	Professional		$230.03	$373.99	$892.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $253.16 / $383.11 / $621.69	Professional		$253.16	$383.11	$621.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.84 / $489.35 / $772.59	Professional		$371.84	$489.35	$772.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,123.88 / $7,929.30 / $12,000.00	Facility		$2,123.88	$7,929.30	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,771.04 / $2,829.52 / $3,246.98	Professional		$2,771.04	$2,829.52	$3,246.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $462.64	Professional		$32.34	$32.34	$462.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $212.95 / $400.80 / $618.49	Facility		$212.95	$400.80	$618.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $235.05 / $405.60 / $955.71	Professional		$235.05	$405.60	$955.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,241.84 / $1,241.84 / $1,241.84	Professional		$1,241.84	$1,241.84	$1,241.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $202.53 / $371.98 / $511.47	Professional		$202.53	$371.98	$511.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,181.00 / $7,218.00 / $15,471.00	Facility		$2,181.00	$7,218.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $260.30 / $369.24 / $904.68	Professional		$260.30	$369.24	$904.68