Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $6,229.00 / $17,380.00	Facility		$530.00	$6,229.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.78 / $410.33 / $1,206.32	Professional		$226.78	$410.33	$1,206.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.33 / $534.05 / $1,007.29	Professional		$294.33	$534.05	$1,007.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,826.58	Facility		$66.00	$100.00	$7,826.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $268.02 / $480.12 / $895.75	Professional		$268.02	$480.12	$895.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,360.35 / $4,227.49	Facility		$2,277.00	$2,360.35	$4,227.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.91 / $485.72 / $927.81	Professional		$260.91	$485.72	$927.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $288.62 / $365.74 / $787.46	Professional		$288.62	$365.74	$787.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $259.50 / $480.99 / $874.95	Professional		$259.50	$480.99	$874.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,157.32 / $1,253.91 / $26,542.00	Facility		$1,157.32	$1,253.91	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,801.68 / $3,333.44 / $3,945.08	Professional		$1,801.68	$3,333.44	$3,945.08
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 $238.75 / $395.25 / $734.22	Facility		$238.75	$395.25	$734.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.81 / $509.66 / $972.96	Professional		$263.81	$509.66	$972.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $802.53 / $802.53 / $1,582.72	Professional		$802.53	$802.53	$1,582.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $262.08 / $471.37 / $648.13	Professional		$262.08	$471.37	$648.13
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $7,120.00 / $14,743.00	Facility		$3,800.00	$7,120.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $368.55 / $489.60 / $1,076.53	Professional		$368.55	$489.60	$1,076.53