Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,233.30 / $5,545.00 / $17,380.00	Facility		$1,233.30	$5,545.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.57 / $346.86 / $964.27	Professional		$225.57	$346.86	$964.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,863.00 / $13,697.00	Facility		$1,450.00	$5,863.00	$13,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.81 / $490.64 / $834.41	Professional		$363.81	$490.64	$834.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.20 / $638.98 / $5,741.69	Facility		$69.20	$638.98	$5,741.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $279.68 / $430.44 / $917.98	Professional		$279.68	$430.44	$917.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $351.29 / $1,885.25 / $5,359.89	Facility		$351.29	$1,885.25	$5,359.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.24 / $412.94 / $930.41	Professional		$251.24	$412.94	$930.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $230.67 / $314.58 / $595.10	Professional		$230.67	$314.58	$595.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.87 / $259.24 / $552.79	Professional		$197.87	$259.24	$552.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,019.00 / $9,011.04 / $12,000.00	Facility		$1,019.00	$9,011.04	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,287.00 / $2,287.00 / $2,287.00	Professional		$2,287.00	$2,287.00	$2,287.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $370.64	Professional		$32.34	$32.34	$370.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $228.64 / $328.49 / $609.87	Facility		$228.64	$328.49	$609.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $259.08 / $422.48 / $760.20	Professional		$259.08	$422.48	$760.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $707.09 / $707.09 / $707.09	Professional		$707.09	$707.09	$707.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $209.11 / $314.58 / $566.27	Professional		$209.11	$314.58	$566.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,838.06 / $9,610.00 / $22,073.00	Facility		$2,838.06	$9,610.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $186.51 / $330.62 / $627.74	Professional		$186.51	$330.62	$627.74