Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $514.95 / $7,108.00 / $18,681.00	Facility		$514.95	$7,108.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.50 / $514.95 / $1,878.07	Professional		$423.50	$514.95	$1,878.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,694.00 / $11,233.00	Facility		$2,137.00	$5,694.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $509.60 / $710.20 / $1,285.57	Professional		$509.60	$710.20	$1,285.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,581.82	Facility		$66.00	$100.00	$1,581.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $394.39 / $574.66 / $1,342.17	Professional		$394.39	$574.66	$1,342.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $253.20 / $453.49	Facility		$56.00	$253.20	$453.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $473.32 / $615.38 / $1,127.86	Professional		$473.32	$615.38	$1,127.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $424.05 / $497.47 / $661.68	Professional		$424.05	$497.47	$661.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $401.78 / $543.42 / $994.86	Professional		$401.78	$543.42	$994.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,400.55 / $2,449.80	Facility		$55.00	$2,400.55	$2,449.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,021.60 / $3,283.39 / $3,644.55	Professional		$3,021.60	$3,283.39	$3,644.55
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 $425.03 / $553.12 / $783.91	Facility		$425.03	$553.12	$783.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $473.69 / $629.47 / $1,127.86	Professional		$473.69	$629.47	$1,127.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,383.20 / $1,383.20 / $1,403.64	Professional		$1,383.20	$1,383.20	$1,403.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $401.56 / $543.97 / $763.29	Professional		$401.56	$543.97	$763.29
United Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,523.00 / $5,830.00	Facility		$526.00	$1,523.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $347.20 / $501.27 / $1,026.08	Professional		$347.20	$501.27	$1,026.08