Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.37 / $4,932.00 / $16,713.00	Facility		$400.37	$4,932.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.73 / $312.22 / $1,404.91	Professional		$228.73	$312.22	$1,404.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,597.00 / $9,381.00	Facility		$1,723.00	$4,597.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.45 / $345.09 / $976.10	Professional		$263.45	$345.09	$976.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,403.01	Facility		$66.00	$100.00	$5,403.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $285.69 / $426.89 / $786.67	Professional		$285.69	$426.89	$786.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,390.96 / $1,393.42 / $2,491.26	Facility		$1,390.96	$1,393.42	$2,491.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.04 / $370.73 / $874.60	Professional		$269.04	$370.73	$874.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $287.27 / $372.30 / $704.25	Professional		$287.27	$372.30	$704.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $241.36 / $333.78 / $600.21	Professional		$241.36	$333.78	$600.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,186.34 / $4,017.35 / $12,000.00	Facility		$1,186.34	$4,017.35	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,022.00 / $4,043.34 / $4,164.64	Professional		$3,022.00	$4,043.34	$4,164.64
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 $271.29 / $359.09 / $1,035.93	Facility		$271.29	$359.09	$1,035.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.67 / $393.55 / $825.98	Professional		$269.67	$393.55	$825.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $871.73 / $871.73 / $871.73	Professional		$871.73	$871.73	$871.73
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $261.01 / $372.30 / $704.25	Professional		$261.01	$372.30	$704.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,060.00 / $9,131.00	Facility		$2,090.00	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $211.14 / $337.24 / $780.19	Professional		$211.14	$337.24	$780.19