Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.87 / $5,679.00 / $16,713.00	Facility		$641.87	$5,679.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $429.96 / $579.08 / $1,524.74	Professional		$429.96	$579.08	$1,524.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,977.00 / $13,012.00	Facility		$2,143.00	$5,977.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $477.21 / $680.33 / $1,333.17	Professional		$477.21	$680.33	$1,333.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,506.48	Facility		$66.00	$100.00	$7,506.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $407.09 / $559.99 / $1,275.72	Professional		$407.09	$559.99	$1,275.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $5,729.24 / $10,261.32	Facility		$1,992.00	$5,729.24	$10,261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.22 / $672.81 / $1,353.15	Professional		$482.22	$672.81	$1,353.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $530.67 / $680.31 / $918.42	Professional		$530.67	$680.31	$918.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $452.04 / $649.66 / $1,149.80	Professional		$452.04	$649.66	$1,149.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,036.84 / $3,041.58 / $16,394.00	Facility		$3,036.84	$3,041.58	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,922.00 / $4,991.29 / $4,991.29	Professional		$4,922.00	$4,991.29	$4,991.29
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 $517.17 / $672.90 / $984.02	Facility		$517.17	$672.90	$984.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $490.35 / $725.33 / $1,368.89	Professional		$490.35	$725.33	$1,368.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,501.79 / $1,501.79 / $1,874.46	Professional		$1,501.79	$1,501.79	$1,874.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $428.82 / $589.62 / $756.07	Professional		$428.82	$589.62	$756.07
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $7,384.00 / $15,471.00	Facility		$3,800.00	$7,384.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $434.68 / $588.05 / $1,285.72	Professional		$434.68	$588.05	$1,285.72