Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $473.32 / $6,322.00 / $17,380.00	Facility		$473.32	$6,322.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.77 / $420.39 / $1,930.35	Professional		$292.77	$420.39	$1,930.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,978.00 / $13,707.00	Facility		$2,456.00	$6,978.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.66 / $459.39 / $915.67	Professional		$338.66	$459.39	$915.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,081.09	Facility		$66.00	$100.00	$8,081.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $296.20 / $423.14 / $855.32	Professional		$296.20	$423.14	$855.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,738.49 / $4,904.76	Facility		$2,277.00	$2,738.49	$4,904.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.26 / $490.02 / $919.97	Professional		$336.26	$490.02	$919.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $430.14 / $747.27	Professional		$128.82	$430.14	$747.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $337.73 / $500.21 / $889.43	Professional		$337.73	$500.21	$889.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,274.48 / $2,335.32 / $26,542.00	Facility		$2,274.48	$2,335.32	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,402.08 / $3,246.64 / $3,793.05	Professional		$2,402.08	$3,246.64	$3,793.05
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 $330.96 / $479.68 / $743.78	Facility		$330.96	$479.68	$743.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $336.51 / $520.78 / $1,054.35	Professional		$336.51	$520.78	$1,054.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,047.92 / $1,047.92 / $1,418.18	Professional		$1,047.92	$1,047.92	$1,418.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $180.34 / $355.32 / $615.03	Professional		$180.34	$355.32	$615.03
United Facility/Professional Facility Modifier Low / Median / High Price $5,284.00 / $12,267.00 / $26,109.00	Facility		$5,284.00	$12,267.00	$26,109.00
United Facility/Professional Professional Modifier Low / Median / High Price $334.70 / $444.95 / $964.78	Professional		$334.70	$444.95	$964.78