Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $541.36 / $5,382.00 / $16,713.00	Facility		$541.36	$5,382.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.85 / $472.87 / $1,222.29	Professional		$314.85	$472.87	$1,222.29
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 $373.11 / $513.51 / $1,020.15	Professional		$373.11	$513.51	$1,020.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,170.31	Facility		$66.00	$100.00	$7,170.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $336.76 / $475.08 / $1,070.04	Professional		$336.76	$475.08	$1,070.04
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 $382.08 / $571.49 / $1,054.39	Professional		$382.08	$571.49	$1,054.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $398.73 / $543.63 / $885.79	Professional		$398.73	$543.63	$885.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $376.56 / $587.12 / $1,002.89	Professional		$376.56	$587.12	$1,002.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,715.52 / $1,871.79 / $16,394.00	Facility		$1,715.52	$1,871.79	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,686.16 / $3,836.16 / $4,473.30	Professional		$2,686.16	$3,836.16	$4,473.30
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 $403.20 / $563.51 / $828.53	Facility		$403.20	$563.51	$828.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $394.06 / $621.22 / $1,183.64	Professional		$394.06	$621.22	$1,183.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,169.52 / $1,169.52 / $1,758.57	Professional		$1,169.52	$1,169.52	$1,758.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $395.18 / $558.23 / $729.10	Professional		$395.18	$558.23	$729.10
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $14,743.00	Facility		$3,523.00	$7,359.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $405.12 / $532.70 / $1,185.28	Professional		$405.12	$532.70	$1,185.28