Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $5,505.00 / $16,713.00	Facility		$550.00	$5,505.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.06 / $419.48 / $1,375.79	Professional		$295.06	$419.48	$1,375.79
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 $368.26 / $473.88 / $940.81	Professional		$368.26	$473.88	$940.81
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 $334.34 / $477.63 / $982.36	Professional		$334.34	$477.63	$982.36
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 $342.38 / $520.21 / $952.36	Professional		$342.38	$520.21	$952.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $363.88 / $497.02 / $810.35	Professional		$363.88	$497.02	$810.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.50 / $523.47 / $926.01	Professional		$316.50	$523.47	$926.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,448.92 / $1,568.69 / $16,394.00	Facility		$1,448.92	$1,568.69	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,230.80 / $3,778.94 / $4,104.60	Professional		$2,230.80	$3,778.94	$4,104.60
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 $354.66 / $527.63 / $803.94	Facility		$354.66	$527.63	$803.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $349.75 / $550.63 / $1,039.76	Professional		$349.75	$550.63	$1,039.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $993.41 / $993.41 / $1,566.83	Professional		$993.41	$993.41	$1,566.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $330.48 / $545.63 / $894.64	Professional		$330.48	$545.63	$894.64
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 $365.85 / $476.57 / $1,040.13	Professional		$365.85	$476.57	$1,040.13