Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $5,829.00 / $16,713.00	Facility		$490.00	$5,829.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.26 / $416.63 / $1,414.58	Professional		$292.26	$416.63	$1,414.58
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 $362.63 / $479.28 / $938.52	Professional		$362.63	$479.28	$938.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,720.31	Facility		$66.00	$100.00	$6,720.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $314.76 / $449.65 / $948.15	Professional		$314.76	$449.65	$948.15
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 $335.45 / $512.25 / $953.27	Professional		$335.45	$512.25	$953.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $374.67 / $461.51 / $832.98	Professional		$374.67	$461.51	$832.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $329.53 / $538.55 / $940.35	Professional		$329.53	$538.55	$940.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,492.04 / $1,615.67 / $16,394.00	Facility		$1,492.04	$1,615.67	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.96 / $4,232.93 / $5,618.43	Professional		$2,290.96	$4,232.93	$5,618.43
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 $323.45 / $498.61 / $778.02	Facility		$323.45	$498.61	$778.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $345.28 / $538.54 / $1,041.56	Professional		$345.28	$538.54	$1,041.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,016.61 / $1,016.61 / $1,609.27	Professional		$1,016.61	$1,016.61	$1,609.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $331.11 / $499.96 / $692.25	Professional		$331.11	$499.96	$692.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $374.77 / $477.45 / $1,068.33	Professional		$374.77	$477.45	$1,068.33