Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $5,505.00 / $16,713.00	Facility		$462.00	$5,505.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.54 / $390.85 / $1,695.69	Professional		$259.54	$390.85	$1,695.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.51 / $430.16 / $833.61	Professional		$308.51	$430.16	$833.61
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 $297.05 / $440.44 / $840.89	Professional		$297.05	$440.44	$840.89
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 $316.89 / $485.53 / $867.53	Professional		$316.89	$485.53	$867.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $253.16 / $383.11 / $691.88	Professional		$253.16	$383.11	$691.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $287.73 / $452.78 / $801.00	Professional		$287.73	$452.78	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,328.36 / $1,433.41 / $16,394.00	Facility		$1,328.36	$1,433.41	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,081.76 / $3,117.91 / $3,450.15	Professional		$2,081.76	$3,117.91	$3,450.15
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 $340.76 / $506.65 / $697.00	Facility		$340.76	$506.65	$697.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $326.69 / $513.82 / $946.18	Professional		$326.69	$513.82	$946.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $924.41 / $924.41 / $1,423.30	Professional		$924.41	$924.41	$1,423.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $295.76 / $414.32 / $569.69	Professional		$295.76	$414.32	$569.69
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,352.00 / $14,743.00	Facility		$3,523.00	$7,352.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $330.75 / $449.31 / $975.44	Professional		$330.75	$449.31	$975.44