Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $5,505.00 / $16,713.00	Facility		$462.00	$5,505.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.64 / $386.68 / $1,195.83	Professional		$259.64	$386.68	$1,195.83
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 $326.29 / $413.88 / $838.86	Professional		$326.29	$413.88	$838.86
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 $256.23 / $373.89 / $759.51	Professional		$256.23	$373.89	$759.51
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 $298.54 / $452.41 / $851.93	Professional		$298.54	$452.41	$851.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $130.68 / $408.08 / $707.16	Professional		$130.68	$408.08	$707.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $314.27 / $471.32 / $831.54	Professional		$314.27	$471.32	$831.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,101.67 / $2,141.64 / $16,394.00	Facility		$2,101.67	$2,141.64	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,211.76 / $3,006.32 / $3,531.60	Professional		$2,211.76	$3,006.32	$3,531.60
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 $306.29 / $449.54 / $670.17	Facility		$306.29	$449.54	$670.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $300.89 / $480.41 / $912.42	Professional		$300.89	$480.41	$912.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $966.78 / $966.78 / $1,362.29	Professional		$966.78	$966.78	$1,362.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $182.95 / $337.16 / $582.11	Professional		$182.95	$337.16	$582.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,230.00 / $4,213.00 / $9,131.00	Facility		$2,230.00	$4,213.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $315.07 / $411.40 / $904.29	Professional		$315.07	$411.40	$904.29