Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $601.03 / $5,505.00 / $16,713.00	Facility		$601.03	$5,505.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.47 / $496.56 / $1,902.02	Professional		$291.47	$496.56	$1,902.02
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 $277.62 / $496.46 / $1,056.77	Professional		$277.62	$496.46	$1,056.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,159.08	Facility		$66.00	$100.00	$7,159.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $321.01 / $458.58 / $901.18	Professional		$321.01	$458.58	$901.18
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 $275.32 / $506.80 / $929.74	Professional		$275.32	$506.80	$929.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $189.88 / $255.41 / $470.12	Professional		$189.88	$255.41	$470.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.60 / $295.39 / $566.24	Professional		$172.60	$295.39	$566.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $966.18 / $975.35 / $16,394.00	Facility		$966.18	$975.35	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,792.20 / $2,614.19 / $3,173.36	Professional		$1,792.20	$2,614.19	$3,173.36
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 $204.02 / $356.25 / $616.12	Facility		$204.02	$356.25	$616.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $298.77 / $515.80 / $953.99	Professional		$298.77	$515.80	$953.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,211.79 / $1,211.79 / $1,788.82	Professional		$1,211.79	$1,211.79	$1,788.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $172.45 / $283.54 / $386.93	Professional		$172.45	$283.54	$386.93
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 $369.60 / $539.00 / $1,236.35	Professional		$369.60	$539.00	$1,236.35