Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,441.51 / $6,423.00 / $18,483.00	Facility		$1,441.51	$6,423.00	$18,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.48 / $300.45 / $1,441.51	Professional		$269.48	$300.45	$1,441.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $5,863.00 / $13,697.00	Facility		$1,196.00	$5,863.00	$13,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.17 / $423.73 / $823.51	Professional		$306.17	$423.73	$823.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $7,121.41	Facility		$67.90	$100.00	$7,121.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $241.46 / $350.88 / $791.01	Professional		$241.46	$350.88	$791.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $3,763.11 / $10,698.75	Facility		$455.00	$3,763.11	$10,698.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.63 / $392.15 / $847.59	Professional		$294.63	$392.15	$847.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $166.05 / $290.64 / $392.38	Professional		$166.05	$290.64	$392.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $249.02 / $329.16 / $608.72	Professional		$249.02	$329.16	$608.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,266.25 / $16,394.00 / $17,986.75	Facility		$1,266.25	$16,394.00	$17,986.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,037.76 / $2,054.26 / $2,269.88	Professional		$2,037.76	$2,054.26	$2,269.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $399.87	Professional		$32.34	$32.34	$399.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $276.69 / $365.79 / $551.40	Facility		$276.69	$365.79	$551.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $298.56 / $412.88 / $775.07	Professional		$298.56	$412.88	$775.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $894.44 / $894.44 / $894.44	Professional		$894.44	$894.44	$894.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $166.05 / $263.85 / $322.49	Professional		$166.05	$263.85	$322.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,922.60 / $9,610.00 / $21,278.00	Facility		$2,922.60	$9,610.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.84 / $331.10 / $684.51	Professional		$230.84	$331.10	$684.51