Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $493.31 / $5,505.00 / $16,713.00	Facility		$493.31	$5,505.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.56 / $445.22 / $1,303.16	Professional		$285.56	$445.22	$1,303.16
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 $334.94 / $470.15 / $934.19	Professional		$334.94	$470.15	$934.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,170.31	Facility		$66.00	$100.00	$7,170.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $311.23 / $431.32 / $971.39	Professional		$311.23	$431.32	$971.39
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 $345.30 / $524.34 / $1,000.36	Professional		$345.30	$524.34	$1,000.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $190.25 / $430.73 / $811.19	Professional		$190.25	$430.73	$811.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.23 / $530.59 / $917.28	Professional		$338.23	$530.59	$917.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,555.28 / $1,683.78 / $16,394.00	Facility		$1,555.28	$1,683.78	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,426.56 / $3,514.48 / $4,065.38	Professional		$2,426.56	$3,514.48	$4,065.38
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 $394.17 / $515.78 / $760.92	Facility		$394.17	$515.78	$760.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.48 / $563.07 / $1,162.02	Professional		$354.48	$563.07	$1,162.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,072.19 / $1,072.19 / $1,637.20	Professional		$1,072.19	$1,072.19	$1,637.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $266.33 / $359.87 / $667.81	Professional		$266.33	$359.87	$667.81
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 $376.09 / $492.10 / $1,124.27	Professional		$376.09	$492.10	$1,124.27