Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.25 / $7,841.00 / $18,681.00	Facility		$521.25	$7,841.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.70 / $469.11 / $2,011.77	Professional		$334.70	$469.11	$2,011.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,566.00 / $9,141.00 / $18,049.00	Facility		$3,566.00	$9,141.00	$18,049.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $334.24 / $476.10 / $1,029.80	Professional		$334.24	$476.10	$1,029.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,012.46	Facility		$66.00	$100.00	$11,012.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $302.72 / $432.45 / $904.38	Professional		$302.72	$432.45	$904.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.12 / $536.50 / $1,033.70	Professional		$365.12	$536.50	$1,033.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $176.86 / $560.04 / $809.68	Professional		$176.86	$560.04	$809.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.27 / $607.26 / $1,043.26	Professional		$416.27	$607.26	$1,043.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,899.28 / $5,564.75 / $26,542.00	Facility		$1,899.28	$5,564.75	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,937.28 / $3,913.12 / $4,628.47	Professional		$2,937.28	$3,913.12	$4,628.47
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 $397.02 / $562.33 / $817.75	Facility		$397.02	$562.33	$817.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $373.54 / $568.12 / $1,058.42	Professional		$373.54	$568.12	$1,058.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,248.27 / $1,248.27 / $1,679.84	Professional		$1,248.27	$1,248.27	$1,679.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $229.92 / $442.45 / $749.61	Professional		$229.92	$442.45	$749.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,348.00 / $4,243.00 / $9,131.00	Facility		$2,348.00	$4,243.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $391.77 / $507.85 / $1,124.06	Professional		$391.77	$507.85	$1,124.06