Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $554.35 / $6,264.00 / $17,133.00	Facility		$554.35	$6,264.00	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.98 / $485.64 / $2,098.02	Professional		$320.98	$485.64	$2,098.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,362.00 / $16,106.00	Facility		$2,456.00	$7,362.00	$16,106.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.27 / $513.29 / $1,021.78	Professional		$380.27	$513.29	$1,021.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,655.16	Facility		$66.00	$100.00	$8,655.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $366.26 / $537.79 / $1,046.19	Professional		$366.26	$537.79	$1,046.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $6,894.76 / $12,348.83	Facility		$2,277.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.19 / $584.83 / $1,057.22	Professional		$379.19	$584.83	$1,057.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $395.38 / $511.44 / $839.24	Professional		$395.38	$511.44	$839.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $356.29 / $551.44 / $996.42	Professional		$356.29	$551.44	$996.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,644.56 / $1,769.95 / $26,542.00	Facility		$1,644.56	$1,769.95	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,278.00 / $3,959.35 / $4,219.13	Professional		$3,278.00	$3,959.35	$4,219.13
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 $421.37 / $600.00 / $832.41	Facility		$421.37	$600.00	$832.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $389.11 / $620.04 / $1,161.43	Professional		$389.11	$620.04	$1,161.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,150.16 / $1,150.16 / $1,721.18	Professional		$1,150.16	$1,150.16	$1,721.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $371.92 / $539.67 / $711.69	Professional		$371.92	$539.67	$711.69
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,651.00 / $29,312.00	Facility		$7,696.00	$13,651.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $413.28 / $546.12 / $1,304.19	Professional		$413.28	$546.12	$1,304.19