Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $884.21 / $5,068.00 / $16,210.00	Facility		$884.21	$5,068.00	$16,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.39 / $391.12 / $1,691.00	Professional		$285.39	$391.12	$1,691.00
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 $352.34 / $441.28 / $887.90	Professional		$352.34	$441.28	$887.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $6,539.15	Facility		$66.90	$100.00	$6,539.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $295.63 / $422.33 / $877.14	Professional		$295.63	$422.33	$877.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,390.96 / $1,393.42 / $2,491.26	Facility		$1,390.96	$1,393.42	$2,491.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.25 / $467.84 / $875.02	Professional		$316.25	$467.84	$875.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $330.97 / $455.58 / $718.19	Professional		$330.97	$455.58	$718.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $317.66 / $478.79 / $844.41	Professional		$317.66	$478.79	$844.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,132.16 / $2,175.36 / $16,394.00	Facility		$2,132.16	$2,175.36	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,235.84 / $3,106.64 / $3,696.38	Professional		$2,235.84	$3,106.64	$3,696.38
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 $311.07 / $455.20 / $693.92	Facility		$311.07	$455.20	$693.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $319.49 / $497.82 / $937.08	Professional		$319.49	$497.82	$937.08
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $2,614.00 / $2,614.00 / $2,614.00	Facility		$2,614.00	$2,614.00	$2,614.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $992.94 / $992.94 / $1,411.29	Professional		$992.94	$992.94	$1,411.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $330.97 / $460.02 / $595.75	Professional		$330.97	$460.02	$595.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,213.00 / $9,131.00	Facility		$2,090.00	$4,213.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $331.29 / $437.08 / $1,064.51	Professional		$331.29	$437.08	$1,064.51