Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.00 / $5,310.00 / $16,713.00	Facility		$1,023.00	$5,310.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.61 / $385.55 / $1,324.27	Professional		$313.61	$385.55	$1,324.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,694.00 / $11,233.00	Facility		$2,143.00	$5,694.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $411.07 / $556.55 / $1,050.42	Professional		$411.07	$556.55	$1,050.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $5,367.09	Facility		$65.80	$100.00	$5,367.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $287.54 / $428.83 / $952.00	Professional		$287.54	$428.83	$952.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $392.68 / $495.00 / $1,404.00	Facility		$392.68	$495.00	$1,404.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.41 / $453.93 / $917.54	Professional		$342.41	$453.93	$917.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $309.75 / $364.13 / $491.58	Professional		$309.75	$364.13	$491.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $303.89 / $400.54 / $801.00	Professional		$303.89	$400.54	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,698.22 / $2,778.23	Facility		$55.00	$2,698.22	$2,778.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,411.19 / $3,411.19 / $3,411.19	Professional		$3,411.19	$3,411.19	$3,411.19
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 $336.11 / $439.16 / $744.14	Facility		$336.11	$439.16	$744.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $350.83 / $499.95 / $911.08	Professional		$350.83	$499.95	$911.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,123.39 / $1,123.39 / $1,123.39	Professional		$1,123.39	$1,123.39	$1,123.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $293.68 / $336.11 / $526.58	Professional		$293.68	$336.11	$526.58
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,533.00 / $6,920.00	Facility		$587.00	$1,533.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $284.30 / $384.96 / $804.42	Professional		$284.30	$384.96	$804.42