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 $266.37 / $401.10 / $1,169.95	Professional		$266.37	$401.10	$1,169.95
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 $299.05 / $412.93 / $824.37	Professional		$299.05	$412.93	$824.37
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,615.58	Facility		$66.00	$100.00	$7,615.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $289.39 / $430.24 / $832.15	Professional		$289.39	$430.24	$832.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $517.71 / $518.63 / $2,277.00	Facility		$517.71	$518.63	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.27 / $471.12 / $865.60	Professional		$303.27	$471.12	$865.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $180.19 / $374.53 / $640.45	Professional		$180.19	$374.53	$640.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $294.70 / $471.32 / $814.84	Professional		$294.70	$471.32	$814.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,354.04 / $1,466.42 / $11,500.00	Facility		$1,354.04	$1,466.42	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,122.23 / $3,126.72 / $3,604.65	Professional		$2,122.23	$3,126.72	$3,604.65
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 $330.00 / $454.98 / $674.10	Facility		$330.00	$454.98	$674.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $313.93 / $505.05 / $964.25	Professional		$313.93	$505.05	$964.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $936.30 / $936.30 / $1,465.25	Professional		$936.30	$936.30	$1,465.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $252.27 / $340.86 / $593.21	Professional		$252.27	$340.86	$593.21
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 $339.12 / $441.92 / $1,113.80	Professional		$339.12	$441.92	$1,113.80