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 $349.67 / $442.10 / $2,215.44	Professional		$349.67	$442.10	$2,215.44
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 $447.79 / $582.51 / $1,128.43	Professional		$447.79	$582.51	$1,128.43
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 $328.93 / $464.46 / $1,060.38	Professional		$328.93	$464.46	$1,060.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,646.28 / $1,649.19 / $2,948.55	Facility		$1,646.28	$1,649.19	$2,948.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.22 / $536.70 / $1,124.42	Professional		$397.22	$536.70	$1,124.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $221.52 / $578.80 / $789.05	Professional		$221.52	$578.80	$789.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $445.75 / $605.12 / $1,039.76	Professional		$445.75	$605.12	$1,039.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,041.28 / $2,244.94 / $16,394.00	Facility		$2,041.28	$2,244.94	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,151.60 / $3,518.40 / $4,112.25	Professional		$3,151.60	$3,518.40	$4,112.25
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 $396.98 / $576.09 / $786.11	Facility		$396.98	$576.09	$786.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $401.92 / $573.86 / $1,157.95	Professional		$401.92	$573.86	$1,157.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,374.64 / $1,374.64 / $1,508.08	Professional		$1,374.64	$1,374.64	$1,508.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $310.13 / $474.90 / $649.07	Professional		$310.13	$474.90	$649.07
United Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $1,572.00 / $5,830.00	Facility		$570.00	$1,572.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $356.13 / $461.65 / $1,001.10	Professional		$356.13	$461.65	$1,001.10