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 $217.05 / $336.22 / $1,432.45	Professional		$217.05	$336.22	$1,432.45
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 $254.80 / $352.84 / $694.24	Professional		$254.80	$352.84	$694.24
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 $245.32 / $350.46 / $766.73	Professional		$245.32	$350.46	$766.73
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 $257.42 / $415.37 / $769.51	Professional		$257.42	$415.37	$769.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $160.09 / $310.27 / $614.39	Professional		$160.09	$310.27	$614.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $242.55 / $397.03 / $720.72	Professional		$242.55	$397.03	$720.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,115.08 / $1,210.30 / $16,394.00	Facility		$1,115.08	$1,210.30	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,751.04 / $2,650.56 / $3,040.43	Professional		$1,751.04	$2,650.56	$3,040.43
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 $285.58 / $391.62 / $596.53	Facility		$285.58	$391.62	$596.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $264.87 / $437.47 / $878.45	Professional		$264.87	$437.47	$878.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $777.98 / $777.98 / $1,260.05	Professional		$777.98	$777.98	$1,260.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $224.12 / $302.83 / $505.92	Professional		$224.12	$302.83	$505.92
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 $290.52 / $387.36 / $865.23	Professional		$290.52	$387.36	$865.23