Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.23 / $4,932.00 / $16,713.00	Facility		$373.23	$4,932.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.39 / $296.92 / $1,357.55	Professional		$227.39	$296.92	$1,357.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.42 / $357.72 / $899.65	Professional		$258.42	$357.72	$899.65
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 $278.52 / $397.89 / $761.24	Professional		$278.52	$397.89	$761.24
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 $264.08 / $369.43 / $782.29	Professional		$264.08	$369.43	$782.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $320.18 / $383.13 / $605.66	Professional		$320.18	$383.13	$605.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $299.10 / $412.30 / $731.13	Professional		$299.10	$412.30	$731.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,561.25 / $2,710.90 / $12,000.00	Facility		$1,561.25	$2,710.90	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,559.00 / $4,278.02 / $4,278.02	Professional		$3,559.00	$4,278.02	$4,278.02
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 $312.67 / $415.41 / $890.52	Facility		$312.67	$415.41	$890.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $270.43 / $397.89 / $758.90	Professional		$270.43	$397.89	$758.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $842.34 / $842.34 / $842.34	Professional		$842.34	$842.34	$842.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $315.26 / $385.32 / $605.66	Professional		$315.26	$385.32	$605.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,371.00 / $2,699.00 / $7,399.00	Facility		$1,371.00	$2,699.00	$7,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $208.32 / $338.92 / $717.55	Professional		$208.32	$338.92	$717.55