Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.20 / $6,322.00 / $17,393.00	Facility		$282.20	$6,322.00	$17,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.13 / $238.29 / $1,114.32	Professional		$162.13	$238.29	$1,114.32
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 $201.53 / $297.33 / $581.02	Professional		$201.53	$297.33	$581.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,833.76	Facility		$66.00	$100.00	$7,833.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $200.80 / $286.86 / $610.54	Professional		$200.80	$286.86	$610.54
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 $217.05 / $332.69 / $638.87	Professional		$217.05	$332.69	$638.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $148.55 / $295.14 / $601.41	Professional		$148.55	$295.14	$601.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.74 / $392.11 / $677.79	Professional		$232.74	$392.11	$677.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,056.56 / $1,154.39 / $26,542.00	Facility		$1,056.56	$1,154.39	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,634.16 / $2,555.12 / $3,041.93	Professional		$1,634.16	$2,555.12	$3,041.93
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 $256.70 / $362.99 / $554.79	Facility		$256.70	$362.99	$554.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $226.08 / $356.07 / $718.58	Professional		$226.08	$356.07	$718.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $653.36 / $653.36 / $1,042.85	Professional		$653.36	$653.36	$1,042.85
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $207.97 / $281.00 / $494.92	Professional		$207.97	$281.00	$494.92
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 $237.22 / $314.30 / $737.36	Professional		$237.22	$314.30	$737.36