Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.35 / $2,221.00 / $16,288.00	Facility		$358.35	$2,221.00	$16,288.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.89 / $397.99 / $2,338.10	Professional		$326.89	$397.99	$2,338.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.30 / $934.00 / $2,914.00	Facility		$179.30	$934.00	$2,914.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.69 / $459.22 / $966.95	Professional		$358.69	$459.22	$966.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $222.50 / $1,060.64	Facility		$59.30	$222.50	$1,060.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $242.32 / $351.48 / $870.24	Professional		$242.32	$351.48	$870.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.25 / $1,011.73 / $2,758.09	Facility		$436.25	$1,011.73	$2,758.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.56 / $470.13 / $1,171.29	Professional		$318.56	$470.13	$1,171.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $322.48 / $539.51 / $728.34	Professional		$322.48	$539.51	$728.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $420.01 / $545.33 / $1,014.28	Professional		$420.01	$545.33	$1,014.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $913.65 / $5,563.56 / $5,563.56	Facility		$913.65	$5,563.56	$5,563.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,136.59 / $3,136.59 / $3,556.58	Professional		$3,136.59	$3,136.59	$3,556.58
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 $376.27 / $526.91 / $899.28	Facility		$376.27	$526.91	$899.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $323.66 / $490.65 / $1,079.30	Professional		$323.66	$490.65	$1,079.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,345.38 / $1,345.38 / $1,345.38	Professional		$1,345.38	$1,345.38	$1,345.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $436.26 / $599.86 / $931.50	Professional		$436.26	$599.86	$931.50
United Facility/Professional Facility Modifier Low / Median / High Price $432.14 / $432.14 / $432.14	Facility		$432.14	$432.14	$432.14
United Facility/Professional Professional Modifier Low / Median / High Price $272.39 / $516.09 / $1,231.39	Professional		$272.39	$516.09	$1,231.39