Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $511.74 / $6,322.00 / $17,380.00	Facility		$511.74	$6,322.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.94 / $445.49 / $1,993.44	Professional		$266.94	$445.49	$1,993.44
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 $340.91 / $446.82 / $931.68	Professional		$340.91	$446.82	$931.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,908.14	Facility		$66.00	$100.00	$7,908.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $292.18 / $477.84 / $915.16	Professional		$292.18	$477.84	$915.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,291.00 / $1,293.28 / $2,312.23	Facility		$1,291.00	$1,293.28	$2,312.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.94 / $529.58 / $1,013.06	Professional		$311.94	$529.58	$1,013.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $261.73 / $445.40 / $871.33	Professional		$261.73	$445.40	$871.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $344.74 / $559.69 / $988.73	Professional		$344.74	$559.69	$988.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,303.52 / $2,341.67 / $26,542.00	Facility		$2,303.52	$2,341.67	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,417.76 / $3,668.00 / $4,340.03	Professional		$2,417.76	$3,668.00	$4,340.03
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 $322.04 / $509.99 / $847.63	Facility		$322.04	$509.99	$847.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $321.33 / $565.11 / $1,093.78	Professional		$321.33	$565.11	$1,093.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,064.54 / $1,064.54 / $1,723.32	Professional		$1,064.54	$1,064.54	$1,723.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $330.06 / $449.68 / $717.22	Professional		$330.06	$449.68	$717.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,060.00 / $9,131.00	Facility		$2,090.00	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $384.28 / $504.16 / $1,191.88	Professional		$384.28	$504.16	$1,191.88