Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $572.40 / $5,102.00 / $16,573.00	Facility		$572.40	$5,102.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.56 / $308.72 / $930.28	Professional		$198.56	$308.72	$930.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,894.00 / $4,734.00 / $9,589.00	Facility		$1,894.00	$4,734.00	$9,589.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.07 / $308.77 / $690.28	Professional		$194.07	$308.77	$690.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,881.37	Facility		$66.00	$100.00	$6,881.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $184.12 / $286.56 / $587.45	Professional		$184.12	$286.56	$587.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.25 / $342.54 / $638.09	Professional		$219.25	$342.54	$638.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $243.38 / $324.35 / $492.54	Professional		$243.38	$324.35	$492.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $219.79 / $355.96 / $642.15	Professional		$219.79	$355.96	$642.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,013.04 / $1,075.21 / $16,394.00	Facility		$1,013.04	$1,075.21	$16,394.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $99.91 / $107.52 / $107.52	Facility	AS	$99.91	$107.52	$107.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,574.88 / $2,443.28 / $2,884.43	Professional		$1,574.88	$2,443.28	$2,884.43
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 $212.81 / $320.51 / $504.01	Facility		$212.81	$320.51	$504.01
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $113.58 / $113.58 / $113.58	Facility	AS	$113.58	$113.58	$113.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $222.73 / $360.41 / $680.59	Professional		$222.73	$360.41	$680.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $721.52 / $721.52 / $1,153.09	Professional		$721.52	$721.52	$1,153.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $196.37 / $331.54 / $455.86	Professional		$196.37	$331.54	$455.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,348.00 / $4,243.00 / $9,131.00	Facility		$2,348.00	$4,243.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $257.14 / $351.40 / $872.38	Professional		$257.14	$351.40	$872.38