Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $553.91 / $5,505.00 / $16,713.00	Facility		$553.91	$5,505.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.81 / $435.85 / $1,851.76	Professional		$319.81	$435.85	$1,851.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,931.00 / $11,456.00	Facility		$2,143.00	$5,931.00	$11,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $422.16 / $602.13 / $1,154.15	Professional		$422.16	$602.13	$1,154.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,100.20	Facility		$66.00	$100.00	$7,100.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $336.57 / $480.81 / $1,031.68	Professional		$336.57	$480.81	$1,031.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.21 / $519.20 / $1,002.90	Professional		$357.21	$519.20	$1,002.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $390.92 / $498.61 / $723.34	Professional		$390.92	$498.61	$723.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $357.29 / $533.66 / $971.00	Professional		$357.29	$533.66	$971.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,421.06 / $7,909.30 / $16,394.00	Facility		$2,421.06	$7,909.30	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,112.00 / $3,532.24 / $4,121.39	Professional		$3,112.00	$3,532.24	$4,121.39
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 $370.93 / $547.10 / $792.11	Facility		$370.93	$547.10	$792.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $361.76 / $542.84 / $1,011.80	Professional		$361.76	$542.84	$1,011.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,148.98 / $1,148.98 / $1,620.23	Professional		$1,148.98	$1,148.98	$1,620.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $367.39 / $521.14 / $739.46	Professional		$367.39	$521.14	$739.46
United Facility/Professional Facility Modifier Low / Median / High Price $4,035.00 / $7,473.00 / $15,471.00	Facility		$4,035.00	$7,473.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $377.46 / $504.17 / $1,113.03	Professional		$377.46	$504.17	$1,113.03