Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.07 / $5,165.00 / $17,380.00	Facility		$502.07	$5,165.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.29 / $392.54 / $1,658.17	Professional		$297.29	$392.54	$1,658.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,314.00 / $8,260.00	Facility		$873.00	$4,314.00	$8,260.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.10 / $457.91 / $968.04	Professional		$305.10	$457.91	$968.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $5,122.07	Facility		$67.90	$100.00	$5,122.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $294.08 / $432.89 / $951.74	Professional		$294.08	$432.89	$951.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.00 / $508.30 / $960.38	Facility		$339.00	$508.30	$960.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.89 / $486.25 / $1,009.65	Professional		$337.89	$486.25	$1,009.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $134.03 / $382.82 / $599.84	Professional		$134.03	$382.82	$599.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $310.52 / $441.29 / $791.85	Professional		$310.52	$441.29	$791.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,093.16 / $2,093.16 / $12,000.00	Facility		$2,093.16	$2,093.16	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,221.36 / $2,927.52 / $3,371.93	Professional		$2,221.36	$2,927.52	$3,371.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $335.01	Professional		$32.34	$32.34	$335.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $325.57 / $443.76 / $674.82	Facility		$325.57	$443.76	$674.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $348.07 / $536.10 / $1,017.53	Professional		$348.07	$536.10	$1,017.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,032.40 / $1,032.40 / $1,354.58	Professional		$1,032.40	$1,032.40	$1,354.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $169.02 / $320.02 / $555.61	Professional		$169.02	$320.02	$555.61
United Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $1,358.00 / $5,830.00	Facility		$379.00	$1,358.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $324.80 / $452.28 / $1,086.01	Professional		$324.80	$452.28	$1,086.01