Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.22 / $5,310.00 / $16,713.00	Facility		$1,256.22	$5,310.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.83 / $358.92 / $1,899.02	Professional		$304.83	$358.92	$1,899.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,418.00 / $9,274.00	Facility		$1,546.00	$4,418.00	$9,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.12 / $607.21 / $1,092.77	Professional		$453.12	$607.21	$1,092.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $5,804.58	Facility		$65.90	$100.00	$5,804.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $299.47 / $428.81 / $951.35	Professional		$299.47	$428.81	$951.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.20 / $468.49 / $1,011.69	Professional		$365.20	$468.49	$1,011.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $350.33 / $390.31 / $526.91	Professional		$350.33	$390.31	$526.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.76 / $455.05 / $813.63	Professional		$331.76	$455.05	$813.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $897.69 / $2,533.00 / $12,000.00	Facility		$897.69	$2,533.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.58 / $2,624.08 / $3,065.33	Professional		$2,570.58	$2,624.08	$3,065.33
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 $373.61 / $469.61 / $630.00	Facility		$373.61	$469.61	$630.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $365.20 / $483.47 / $962.29	Professional		$365.20	$483.47	$962.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,178.30 / $1,178.30 / $1,178.30	Professional		$1,178.30	$1,178.30	$1,178.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $350.33 / $432.75 / $662.70	Professional		$350.33	$432.75	$662.70
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,523.00 / $7,068.00	Facility		$587.00	$1,523.00	$7,068.00
United Facility/Professional Professional Modifier Low / Median / High Price $290.25 / $389.52 / $820.05	Professional		$290.25	$389.52	$820.05