Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.92 / $6,322.00 / $17,380.00	Facility		$529.92	$6,322.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.88 / $477.71 / $1,704.45	Professional		$307.88	$477.71	$1,704.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.10 / $477.47 / $921.62	Professional		$349.10	$477.47	$921.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,908.14	Facility		$66.00	$100.00	$7,908.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $345.49 / $510.31 / $977.86	Professional		$345.49	$510.31	$977.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,101.23 / $5,554.45	Facility		$2,277.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.19 / $542.97 / $994.32	Professional		$357.19	$542.97	$994.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $200.67 / $428.23 / $818.64	Professional		$200.67	$428.23	$818.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $336.50 / $535.17 / $925.21	Professional		$336.50	$535.17	$925.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,545.60 / $1,674.38 / $26,542.00	Facility		$1,545.60	$1,674.38	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,409.44 / $3,537.92 / $4,105.13	Professional		$2,409.44	$3,537.92	$4,105.13
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 $369.31 / $515.71 / $781.29	Facility		$369.31	$515.71	$781.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $362.61 / $575.29 / $1,103.64	Professional		$362.61	$575.29	$1,103.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,057.57 / $1,057.57 / $1,638.21	Professional		$1,057.57	$1,057.57	$1,638.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $280.94 / $379.59 / $673.94	Professional		$280.94	$379.59	$673.94
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $7,106.00 / $14,636.00	Facility		$3,800.00	$7,106.00	$14,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $380.05 / $506.16 / $1,132.90	Professional		$380.05	$506.16	$1,132.90