Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $5,576.00 / $16,973.00	Facility		$490.00	$5,576.00	$16,973.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.63 / $404.01 / $1,161.74	Professional		$267.63	$404.01	$1,161.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,400.00	Facility		$2,137.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.33 / $430.19 / $846.49	Professional		$297.33	$430.19	$846.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,826.58	Facility		$66.00	$100.00	$7,826.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $271.64 / $379.76 / $852.42	Professional		$271.64	$379.76	$852.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,646.28 / $1,649.19 / $2,948.55	Facility		$1,646.28	$1,649.19	$2,948.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.42 / $469.16 / $873.91	Professional		$306.42	$469.16	$873.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $170.14 / $382.33 / $726.99	Professional		$170.14	$382.33	$726.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $299.30 / $474.81 / $820.96	Professional		$299.30	$474.81	$820.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,373.44 / $1,492.17 / $16,394.00	Facility		$1,373.44	$1,492.17	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,153.04 / $3,145.60 / $3,622.35	Professional		$2,153.04	$3,145.60	$3,622.35
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 $354.00 / $469.22 / $680.20	Facility		$354.00	$469.22	$680.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $313.14 / $499.20 / $979.51	Professional		$313.14	$499.20	$979.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $952.79 / $952.79 / $1,478.13	Professional		$952.79	$952.79	$1,478.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $238.20 / $321.83 / $598.58	Professional		$238.20	$321.83	$598.58
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 $341.82 / $440.15 / $1,003.74	Professional		$341.82	$440.15	$1,003.74