Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.73 / $4,848.00 / $16,573.00	Facility		$453.73	$4,848.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.27 / $381.12 / $1,568.78	Professional		$205.27	$381.12	$1,568.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,694.00 / $11,233.00	Facility		$2,137.00	$5,694.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.74 / $347.93 / $749.16	Professional		$214.74	$347.93	$749.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $4,979.42	Facility		$66.00	$100.00	$4,979.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $248.71 / $439.00 / $819.08	Professional		$248.71	$439.00	$819.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $938.60 / $940.26 / $1,681.08	Facility		$938.60	$940.26	$1,681.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.34 / $447.49 / $848.77	Professional		$244.34	$447.49	$848.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $190.99 / $302.75 / $670.10	Professional		$190.99	$302.75	$670.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $247.71 / $445.34 / $801.00	Professional		$247.71	$445.34	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,398.20 / $1,428.50 / $12,000.00	Facility		$1,398.20	$1,428.50	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,789.68 / $3,562.26 / $3,679.82	Professional		$1,789.68	$3,562.26	$3,679.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.42 / $440.10 / $693.36	Facility		$263.42	$440.10	$693.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $247.37 / $476.57 / $906.13	Professional		$247.37	$476.57	$906.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $796.09 / $1,459.67	Professional		$796.09	$796.09	$1,459.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $240.85 / $313.11 / $591.04	Professional		$240.85	$313.11	$591.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,371.00 / $2,699.00 / $7,655.00	Facility		$1,371.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $338.31 / $450.62 / $1,007.93	Professional		$338.31	$450.62	$1,007.93