Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.83 / $5,505.00 / $16,713.00	Facility		$562.83	$5,505.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.22 / $461.53 / $1,822.73	Professional		$280.22	$461.53	$1,822.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,400.00	Facility		$2,137.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.76 / $427.58 / $834.82	Professional		$305.76	$427.58	$834.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,979.19	Facility		$66.00	$100.00	$6,979.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $322.08 / $530.49 / $1,019.77	Professional		$322.08	$530.49	$1,019.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $2,214.42 / $3,966.12	Facility		$1,992.00	$2,214.42	$3,966.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.50 / $572.70 / $1,152.64	Professional		$351.50	$572.70	$1,152.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $141.47 / $490.73 / $1,018.05	Professional		$141.47	$490.73	$1,018.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $377.06 / $643.47 / $1,147.48	Professional		$377.06	$643.47	$1,147.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,694.40 / $1,883.61 / $16,394.00	Facility		$1,694.40	$1,883.61	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,612.80 / $4,213.76 / $5,010.75	Professional		$2,612.80	$4,213.76	$5,010.75
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 $367.97 / $563.04 / $934.85	Facility		$367.97	$563.04	$934.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $355.76 / $623.98 / $1,216.88	Professional		$355.76	$623.98	$1,216.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,130.95 / $1,130.95 / $1,959.24	Professional		$1,130.95	$1,130.95	$1,959.24
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $198.06 / $405.40 / $838.09	Professional		$198.06	$405.40	$838.09
United Facility/Professional Facility Modifier Low / Median / High Price $3,190.00 / $7,352.00 / $14,743.00	Facility		$3,190.00	$7,352.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $418.50 / $552.41 / $1,359.09	Professional		$418.50	$552.41	$1,359.09