Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,036.83 / $5,966.84 / $17,809.00	Facility		$1,036.83	$5,966.84	$17,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.30 / $797.55 / $2,218.11	Professional		$193.30	$797.55	$2,218.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $5,793.00 / $11,233.00	Facility		$1,196.00	$5,793.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.75 / $655.91 / $1,997.16	Professional		$248.75	$655.91	$1,997.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $7,230.50	Facility		$67.90	$100.00	$7,230.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $205.43 / $775.48 / $1,974.35	Professional		$205.43	$775.48	$1,974.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $920.00 / $3,025.00	Facility		$633.00	$920.00	$3,025.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.95 / $651.79 / $1,908.26	Professional		$223.95	$651.79	$1,908.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $230.50 / $891.29 / $1,203.24	Professional		$230.50	$891.29	$1,203.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.93 / $688.27 / $1,450.30	Professional		$204.93	$688.27	$1,450.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,389.42 / $1,389.42	Facility		$55.00	$1,389.42	$1,389.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,821.29 / $5,779.92 / $6,372.53	Professional		$2,821.29	$5,779.92	$6,372.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $638.35	Professional		$32.34	$32.34	$638.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $216.40 / $742.59 / $1,438.36	Facility		$216.40	$742.59	$1,438.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $231.17 / $678.78 / $1,982.13	Professional		$231.17	$678.78	$1,982.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $685.81 / $685.81 / $2,997.54	Professional		$685.81	$685.81	$2,997.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $209.47 / $891.29 / $1,247.80	Professional		$209.47	$891.29	$1,247.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,089.45 / $3,964.00 / $9,131.00	Facility		$1,089.45	$3,964.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $706.44 / $1,037.97 / $2,307.42	Professional		$706.44	$1,037.97	$2,307.42