Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $5,505.00 / $16,713.00	Facility		$462.00	$5,505.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.39 / $363.14 / $1,694.57	Professional		$182.39	$363.14	$1,694.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.86 / $279.54 / $874.12	Professional		$169.86	$279.54	$874.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $4,979.42	Facility		$66.00	$100.00	$4,979.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $207.72 / $374.11 / $720.25	Professional		$207.72	$374.11	$720.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $938.60 / $940.26 / $1,992.00	Facility		$938.60	$940.26	$1,992.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.39 / $440.56 / $963.20	Professional		$231.39	$440.56	$963.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $252.47 / $474.90 / $703.61	Professional		$252.47	$474.90	$703.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $227.22 / $466.51 / $853.08	Professional		$227.22	$466.51	$853.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,518.96 / $1,534.74 / $16,394.00	Facility		$1,518.96	$1,534.74	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,163.00 / $3,262.64 / $3,783.83	Professional		$3,163.00	$3,262.64	$3,783.83
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 $251.83 / $440.00 / $718.40	Facility		$251.83	$440.00	$718.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $231.89 / $470.74 / $1,108.25	Professional		$231.89	$470.74	$1,108.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $834.32 / $834.32 / $1,870.58	Professional		$834.32	$834.32	$1,870.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $229.42 / $514.48 / $712.36	Professional		$229.42	$514.48	$712.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,371.00 / $2,699.00 / $7,655.00	Facility		$1,371.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $340.89 / $507.04 / $1,247.63	Professional		$340.89	$507.04	$1,247.63