Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.71 / $6,695.00 / $18,293.00	Facility		$471.71	$6,695.00	$18,293.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.18 / $395.10 / $1,491.71	Professional		$263.18	$395.10	$1,491.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.08 / $433.76 / $830.39	Professional		$310.08	$433.76	$830.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,677.87	Facility		$66.00	$100.00	$9,677.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $299.41 / $427.73 / $907.45	Professional		$299.41	$427.73	$907.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $3,101.23 / $5,554.45	Facility		$2,813.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.52 / $502.69 / $947.28	Professional		$327.52	$502.69	$947.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $320.18 / $416.74 / $697.32	Professional		$320.18	$416.74	$697.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.06 / $456.20 / $829.45	Professional		$288.06	$456.20	$829.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,329.92 / $1,434.98 / $26,542.00	Facility		$1,329.92	$1,434.98	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,084.40 / $3,036.32 / $3,475.35	Professional		$2,084.40	$3,036.32	$3,475.35
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 $341.16 / $477.59 / $704.66	Facility		$341.16	$477.59	$704.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $332.75 / $527.20 / $1,005.91	Professional		$332.75	$527.20	$1,005.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $925.56 / $925.56 / $1,432.87	Professional		$925.56	$925.56	$1,432.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $303.08 / $446.45 / $576.32	Professional		$303.08	$446.45	$576.32
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 $340.69 / $453.62 / $1,037.83	Professional		$340.69	$453.62	$1,037.83