Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $534.91 / $5,812.00 / $16,713.00	Facility		$534.91	$5,812.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.37 / $449.70 / $1,540.24	Professional		$354.37	$449.70	$1,540.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,977.00 / $13,012.00	Facility		$2,143.00	$5,977.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $451.50 / $568.89 / $1,125.97	Professional		$451.50	$568.89	$1,125.97
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,063.87	Facility		$66.00	$100.00	$10,063.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $346.40 / $477.02 / $1,084.60	Professional		$346.40	$477.02	$1,084.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $538.67 / $539.64 / $2,277.00	Facility		$538.67	$539.64	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.41 / $567.28 / $1,154.41	Professional		$401.41	$567.28	$1,154.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $201.41 / $437.49 / $683.06	Professional		$201.41	$437.49	$683.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $373.81 / $546.86 / $891.34	Professional		$373.81	$546.86	$891.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,519.34 / $2,551.32	Facility		$55.00	$2,519.34	$2,551.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,085.00 / $3,356.56 / $3,868.20	Professional		$3,085.00	$3,356.56	$3,868.20
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 $442.13 / $576.19 / $839.27	Facility		$442.13	$576.19	$839.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $407.95 / $613.47 / $1,175.57	Professional		$407.95	$613.47	$1,175.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,286.59 / $1,286.59 / $1,641.24	Professional		$1,286.59	$1,286.59	$1,641.24
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $281.98 / $397.71 / $632.62	Professional		$281.98	$397.71	$632.62
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $387.02 / $510.34 / $1,159.91	Professional		$387.02	$510.34	$1,159.91