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 $246.15 / $371.06 / $1,726.57	Professional		$246.15	$371.06	$1,726.57
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 $288.12 / $412.67 / $817.47	Professional		$288.12	$412.67	$817.47
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 $270.87 / $380.31 / $849.99	Professional		$270.87	$380.31	$849.99
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 $296.83 / $461.37 / $859.93	Professional		$296.83	$461.37	$859.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $168.28 / $335.10 / $647.35	Professional		$168.28	$335.10	$647.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.08 / $420.99 / $791.31	Professional		$263.08	$420.99	$791.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,218.44 / $1,311.05 / $16,394.00	Facility		$1,218.44	$1,311.05	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,906.64 / $2,815.68 / $3,217.50	Professional		$1,906.64	$2,815.68	$3,217.50
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 $311.83 / $433.48 / $636.65	Facility		$311.83	$433.48	$636.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $300.39 / $485.15 / $916.76	Professional		$300.39	$485.15	$916.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $936.88 / $936.88 / $1,498.28	Professional		$936.88	$936.88	$1,498.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $235.59 / $318.32 / $533.05	Professional		$235.59	$318.32	$533.05
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 $336.18 / $440.29 / $1,026.05	Professional		$336.18	$440.29	$1,026.05