Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.00 / $6,159.00 / $17,133.00	Facility		$563.00	$6,159.00	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.20 / $444.44 / $1,207.43	Professional		$289.20	$444.44	$1,207.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,720.00 / $10,404.00	Facility		$1,787.00	$4,720.00	$10,404.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.28 / $472.42 / $963.49	Professional		$341.28	$472.42	$963.49
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 $338.60 / $486.76 / $948.93	Professional		$338.60	$486.76	$948.93
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 $354.78 / $531.01 / $974.17	Professional		$354.78	$531.01	$974.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $197.32 / $441.63 / $810.92	Professional		$197.32	$441.63	$810.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.18 / $538.48 / $923.40	Professional		$346.18	$538.48	$923.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,588.96 / $1,724.73 / $26,542.00	Facility		$1,588.96	$1,724.73	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,486.08 / $3,521.60 / $4,062.90	Professional		$2,486.08	$3,521.60	$4,062.90
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 $353.81 / $514.51 / $777.97	Facility		$353.81	$514.51	$777.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $358.39 / $573.78 / $1,110.96	Professional		$358.39	$573.78	$1,110.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,105.81 / $1,105.81 / $1,655.19	Professional		$1,105.81	$1,105.81	$1,655.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $276.25 / $373.25 / $667.62	Professional		$276.25	$373.25	$667.62
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,352.00 / $14,743.00	Facility		$3,523.00	$7,352.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $380.05 / $499.99 / $1,136.13	Professional		$380.05	$499.99	$1,136.13