Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.21 / $2,264.00 / $16,288.00	Facility		$478.21	$2,264.00	$16,288.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $437.91 / $523.04 / $3,088.02	Professional		$437.91	$523.04	$3,088.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.36 / $934.00 / $2,914.00	Facility		$210.36	$934.00	$2,914.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $496.42 / $629.48 / $1,307.13	Professional		$496.42	$629.48	$1,307.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $318.83 / $1,450.91	Facility		$59.30	$318.83	$1,450.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $354.10 / $516.41 / $1,269.46	Professional		$354.10	$516.41	$1,269.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $496.50 / $1,011.73 / $2,758.09	Facility		$496.50	$1,011.73	$2,758.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $451.28 / $635.85 / $1,543.19	Professional		$451.28	$635.85	$1,543.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $427.42 / $701.97 / $947.66	Professional		$427.42	$701.97	$947.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.16 / $710.01 / $1,319.70	Professional		$549.16	$710.01	$1,319.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,203.68 / $5,563.56 / $5,563.56	Facility		$1,203.68	$5,563.56	$5,563.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,419.43 / $3,419.43 / $4,662.08	Professional		$3,419.43	$3,419.43	$4,662.08
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 $501.28 / $692.70 / $1,171.22	Facility		$501.28	$692.70	$1,171.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $451.28 / $650.86 / $1,480.04	Professional		$451.28	$650.86	$1,480.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,776.89 / $1,776.89 / $1,776.89	Professional		$1,776.89	$1,776.89	$1,776.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $567.63 / $780.49 / $1,117.80	Professional		$567.63	$780.49	$1,117.80
United Facility/Professional Facility Modifier Low / Median / High Price $491.85 / $491.85 / $491.85	Facility		$491.85	$491.85	$491.85
United Facility/Professional Professional Modifier Low / Median / High Price $369.19 / $683.90 / $1,697.16	Professional		$369.19	$683.90	$1,697.16