Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $5,505.00 / $16,713.00	Facility		$490.00	$5,505.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.93 / $383.06 / $1,007.71	Professional		$250.93	$383.06	$1,007.71
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 $267.49 / $363.58 / $764.60	Professional		$267.49	$363.58	$764.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,848.26	Facility		$66.00	$100.00	$6,848.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $271.54 / $408.89 / $794.06	Professional		$271.54	$408.89	$794.06
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 $282.04 / $446.61 / $809.61	Professional		$282.04	$446.61	$809.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $170.14 / $364.89 / $695.06	Professional		$170.14	$364.89	$695.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $282.06 / $451.39 / $780.71	Professional		$282.06	$451.39	$780.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,286.24 / $1,412.13 / $16,394.00	Facility		$1,286.24	$1,412.13	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,011.04 / $2,962.96 / $3,432.53	Professional		$2,011.04	$2,962.96	$3,432.53
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 $283.75 / $427.96 / $650.36	Facility		$283.75	$427.96	$650.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $287.63 / $478.80 / $912.38	Professional		$287.63	$478.80	$912.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $878.83 / $878.83 / $1,382.53	Professional		$878.83	$878.83	$1,382.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $238.20 / $321.83 / $572.32	Professional		$238.20	$321.83	$572.32
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 $318.60 / $413.35 / $1,054.32	Professional		$318.60	$413.35	$1,054.32