Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $454.98 / $5,382.00 / $16,713.00	Facility		$454.98	$5,382.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.67 / $409.87 / $1,563.47	Professional		$274.67	$409.87	$1,563.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.94 / $423.95 / $844.05	Professional		$304.94	$423.95	$844.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,100.20	Facility		$66.00	$100.00	$7,100.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $299.06 / $440.44 / $853.97	Professional		$299.06	$440.44	$853.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $3,101.23 / $5,554.45	Facility		$1,992.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.23 / $481.37 / $882.41	Professional		$314.23	$481.37	$882.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $179.82 / $384.85 / $734.43	Professional		$179.82	$384.85	$734.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $303.33 / $480.89 / $831.32	Professional		$303.33	$480.89	$831.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,396.08 / $1,508.22 / $16,394.00	Facility		$1,396.08	$1,508.22	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,182.16 / $3,191.44 / $3,685.65	Professional		$2,182.16	$3,191.44	$3,685.65
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 $349.07 / $466.58 / $693.75	Facility		$349.07	$466.58	$693.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $322.99 / $520.75 / $998.18	Professional		$322.99	$520.75	$998.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $970.10 / $970.10 / $1,507.46	Professional		$970.10	$970.10	$1,507.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $251.75 / $340.15 / $604.63	Professional		$251.75	$340.15	$604.63
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 $349.11 / $453.01 / $1,118.50	Professional		$349.11	$453.01	$1,118.50