Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.68 / $5,505.00 / $16,713.00	Facility		$484.68	$5,505.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.51 / $429.58 / $1,852.55	Professional		$293.51	$429.58	$1,852.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,720.00 / $10,404.00	Facility		$1,787.00	$4,720.00	$10,404.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.41 / $470.44 / $964.83	Professional		$346.41	$470.44	$964.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,210.78	Facility		$66.00	$100.00	$7,210.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $318.63 / $455.19 / $979.74	Professional		$318.63	$455.19	$979.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $3,101.23 / $5,554.45	Facility		$1,992.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.23 / $524.33 / $995.07	Professional		$357.23	$524.33	$995.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $234.18 / $430.85 / $761.13	Professional		$234.18	$430.85	$761.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $342.21 / $507.42 / $902.63	Professional		$342.21	$507.42	$902.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,538.04 / $1,693.95 / $16,394.00	Facility		$1,538.04	$1,693.95	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,418.88 / $3,483.30 / $3,918.53	Professional		$2,418.88	$3,483.30	$3,918.53
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 $348.13 / $517.78 / $751.20	Facility		$348.13	$517.78	$751.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $359.46 / $570.46 / $1,135.86	Professional		$359.46	$570.46	$1,135.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,094.46 / $1,094.46 / $1,581.34	Professional		$1,094.46	$1,094.46	$1,581.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $316.22 / $434.80 / $626.26	Professional		$316.22	$434.80	$626.26
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $368.82 / $489.17 / $1,094.61	Professional		$368.82	$489.17	$1,094.61