Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $527.42 / $6,537.00 / $19,011.00	Facility		$527.42	$6,537.00	$19,011.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.01 / $424.34 / $1,864.26	Professional		$298.01	$424.34	$1,864.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $6,797.00 / $13,326.00	Facility		$1,450.00	$6,797.00	$13,326.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.12 / $497.79 / $1,100.58	Professional		$336.12	$497.79	$1,100.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $7,680.36	Facility		$67.90	$100.00	$7,680.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $310.88 / $450.31 / $1,013.54	Professional		$310.88	$450.31	$1,013.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $589.50 / $1,761.60 / $4,904.76	Facility		$589.50	$1,761.60	$4,904.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.47 / $536.04 / $1,116.92	Professional		$345.47	$536.04	$1,116.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $272.52 / $464.33 / $917.49	Professional		$272.52	$464.33	$917.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $360.37 / $579.04 / $1,019.43	Professional		$360.37	$579.04	$1,019.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,427.17 / $2,468.21 / $26,542.00	Facility		$2,427.17	$2,468.21	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,572.48 / $3,910.96 / $4,535.03	Professional		$2,572.48	$3,910.96	$4,535.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $586.36	Professional		$32.34	$32.34	$586.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $344.68 / $509.98 / $858.46	Facility		$344.68	$509.98	$858.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $356.77 / $603.45 / $1,293.29	Professional		$356.77	$603.45	$1,293.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,156.73 / $1,156.73 / $1,759.01	Professional		$1,156.73	$1,156.73	$1,759.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $341.10 / $469.01 / $755.45	Professional		$341.10	$469.01	$755.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,181.00 / $7,218.00 / $15,471.00	Facility		$2,181.00	$7,218.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $390.41 / $539.73 / $1,310.97	Professional		$390.41	$539.73	$1,310.97