Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.36 / $6,322.00 / $17,380.00	Facility		$386.36	$6,322.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.47 / $318.51 / $1,371.69	Professional		$167.47	$318.51	$1,371.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,977.00 / $13,707.00	Facility		$2,143.00	$5,977.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.63 / $282.08 / $698.90	Professional		$205.63	$282.08	$698.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,392.69	Facility		$66.00	$100.00	$8,392.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $193.30 / $368.33 / $696.77	Professional		$193.30	$368.33	$696.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $6,894.76 / $12,348.83	Facility		$2,277.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.48 / $364.06 / $689.39	Professional		$196.48	$364.06	$689.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $221.99 / $332.39 / $565.52	Professional		$221.99	$332.39	$565.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.46 / $346.88 / $639.00	Professional		$194.46	$346.88	$639.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $867.92 / $947.39 / $26,542.00	Facility		$867.92	$947.39	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,359.44 / $2,753.93 / $3,258.72	Professional		$1,359.44	$2,753.93	$3,258.72
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 $206.40 / $354.99 / $584.22	Facility		$206.40	$354.99	$584.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $203.04 / $377.91 / $730.64	Professional		$203.04	$377.91	$730.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $602.96 / $602.96 / $1,145.13	Professional		$602.96	$602.96	$1,145.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $201.83 / $360.09 / $498.58	Professional		$201.83	$360.09	$498.58
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $7,402.00 / $15,471.00	Facility		$3,800.00	$7,402.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $269.45 / $371.40 / $804.91	Professional		$269.45	$371.40	$804.91