Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.68 / $6,268.00 / $17,380.00	Facility		$407.68	$6,268.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.22 / $340.73 / $1,317.66	Professional		$221.22	$340.73	$1,317.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,785.00 / $10,404.00	Facility		$1,787.00	$4,785.00	$10,404.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.04 / $372.27 / $740.60	Professional		$259.04	$372.27	$740.60
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 $239.95 / $331.63 / $745.81	Professional		$239.95	$331.63	$745.81
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 $267.77 / $424.31 / $776.55	Professional		$267.77	$424.31	$776.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $168.28 / $328.86 / $651.44	Professional		$168.28	$328.86	$651.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.92 / $424.02 / $734.72	Professional		$257.92	$424.02	$734.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,191.92 / $1,284.54 / $26,542.00	Facility		$1,191.92	$1,284.54	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,849.76 / $2,804.16 / $3,246.98	Professional		$1,849.76	$2,804.16	$3,246.98
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 $304.48 / $408.00 / $617.03	Facility		$304.48	$408.00	$617.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $270.39 / $456.65 / $844.09	Professional		$270.39	$456.65	$844.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $817.58 / $817.58 / $1,323.68	Professional		$817.58	$817.58	$1,323.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $235.59 / $318.32 / $536.34	Professional		$235.59	$318.32	$536.34
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $304.67 / $396.20 / $909.87	Professional		$304.67	$396.20	$909.87