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 $268.58 / $389.04 / $1,688.18	Professional		$268.58	$389.04	$1,688.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,597.00 / $9,381.00	Facility		$1,787.00	$4,597.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.10 / $449.91 / $878.67	Professional		$316.10	$449.91	$878.67
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 $276.70 / $395.30 / $871.21	Professional		$276.70	$395.30	$871.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.70 / $525.63 / $2,277.00	Facility		$524.70	$525.63	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.13 / $488.76 / $924.60	Professional		$324.13	$488.76	$924.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $210.72 / $398.61 / $660.30	Professional		$210.72	$398.61	$660.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $314.16 / $489.40 / $841.68	Professional		$314.16	$489.40	$841.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,452.88 / $1,562.51	Facility		$55.00	$1,452.88	$1,562.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,262.40 / $3,238.16 / $3,731.93	Professional		$2,262.40	$3,238.16	$3,731.93
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 $370.94 / $498.30 / $704.75	Facility		$370.94	$498.30	$704.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.05 / $531.25 / $1,064.19	Professional		$331.05	$531.25	$1,064.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,000.40 / $1,000.40 / $1,516.12	Professional		$1,000.40	$1,000.40	$1,516.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $292.89 / $398.61 / $611.55	Professional		$292.89	$398.61	$611.55
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 $351.27 / $463.75 / $1,130.05	Professional		$351.27	$463.75	$1,130.05