Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.00 / $5,505.00 / $16,210.00	Facility		$621.00	$5,505.00	$16,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.70 / $484.47 / $2,152.00	Professional		$298.70	$484.47	$2,152.00
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 $365.39 / $478.91 / $938.37	Professional		$365.39	$478.91	$938.37
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,663.63	Facility		$66.00	$100.00	$6,663.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $319.70 / $482.03 / $931.68	Professional		$319.70	$482.03	$931.68
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 $341.17 / $533.29 / $1,007.00	Professional		$341.17	$533.29	$1,007.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $490.95 / $885.90	Professional		$337.30	$490.95	$885.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $342.29 / $572.17 / $999.90	Professional		$342.29	$572.17	$999.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,559.36 / $1,694.90 / $16,394.00	Facility		$1,559.36	$1,694.90	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,407.76 / $3,777.20 / $4,495.50	Professional		$2,407.76	$3,777.20	$4,495.50
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 $313.99 / $502.02 / $821.47	Facility		$313.99	$502.02	$821.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $343.53 / $573.42 / $1,108.25	Professional		$343.53	$573.42	$1,108.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,068.83 / $1,068.83 / $1,719.20	Professional		$1,068.83	$1,068.83	$1,719.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $347.44 / $530.17 / $729.00	Professional		$347.44	$530.17	$729.00
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 $388.14 / $513.13 / $1,268.95	Professional		$388.14	$513.13	$1,268.95