Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $539.71 / $5,576.00 / $17,030.00	Facility		$539.71	$5,576.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.54 / $453.36 / $2,079.35	Professional		$362.54	$453.36	$2,079.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,400.00	Facility		$2,137.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $396.67 / $562.41 / $1,129.21	Professional		$396.67	$562.41	$1,129.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,955.52	Facility		$66.00	$100.00	$6,955.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $343.85 / $470.21 / $1,056.33	Professional		$343.85	$470.21	$1,056.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $2,738.49 / $4,904.76	Facility		$1,992.00	$2,738.49	$4,904.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.28 / $566.29 / $1,163.03	Professional		$399.28	$566.29	$1,163.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $186.15 / $483.26 / $776.51	Professional		$186.15	$483.26	$776.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $375.23 / $549.16 / $894.83	Professional		$375.23	$549.16	$894.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,528.52 / $2,560.73 / $16,394.00	Facility		$2,528.52	$2,560.73	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,085.00 / $3,387.60 / $3,904.95	Professional		$3,085.00	$3,387.60	$3,904.95
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 $406.36 / $550.28 / $776.51	Facility		$406.36	$550.28	$776.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $399.28 / $615.66 / $1,194.24	Professional		$399.28	$615.66	$1,194.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,290.21 / $1,290.21 / $1,654.46	Professional		$1,290.21	$1,290.21	$1,654.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $260.61 / $399.38 / $639.27	Professional		$260.61	$399.38	$639.27
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $7,042.00 / $14,636.00	Facility		$3,800.00	$7,042.00	$14,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $383.81 / $509.19 / $1,135.40	Professional		$383.81	$509.19	$1,135.40