Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.51 / $4,848.00 / $16,573.00	Facility		$455.51	$4,848.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.10 / $399.40 / $1,558.64	Professional		$202.10	$399.40	$1,558.64
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 $188.27 / $277.76 / $588.38	Professional		$188.27	$277.76	$588.38
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 $220.19 / $418.27 / $790.97	Professional		$220.19	$418.27	$790.97
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 $230.49 / $450.46 / $899.95	Professional		$230.49	$450.46	$899.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $113.55 / $297.86 / $714.90	Professional		$113.55	$297.86	$714.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $243.36 / $493.67 / $893.63	Professional		$243.36	$493.67	$893.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,104.52 / $1,190.83 / $12,000.00	Facility		$1,104.52	$1,190.83	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,855.29 / $3,403.92 / $4,079.18	Professional		$1,855.29	$3,403.92	$4,079.18
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 $220.62 / $407.87 / $744.69	Facility		$220.62	$407.87	$744.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $232.18 / $476.36 / $1,059.39	Professional		$232.18	$476.36	$1,059.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $736.94 / $736.94 / $1,476.26	Professional		$736.94	$736.94	$1,476.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $158.97 / $245.69 / $661.78	Professional		$158.97	$245.69	$661.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,198.00 / $2,699.00 / $7,655.00	Facility		$1,198.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $340.06 / $448.13 / $1,082.10	Professional		$340.06	$448.13	$1,082.10