Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $6,423.00 / $17,155.79	Facility		$530.00	$6,423.00	$17,155.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.87 / $474.37 / $1,986.57	Professional		$353.87	$474.37	$1,986.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $8,592.00 / $17,774.00	Facility		$2,776.00	$8,592.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $430.53 / $540.26 / $1,079.67	Professional		$430.53	$540.26	$1,079.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $5,553.14	Facility		$66.09	$100.00	$5,553.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $335.54 / $479.34 / $1,012.13	Professional		$335.54	$479.34	$1,012.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $5,729.24 / $10,261.32	Facility		$2,277.00	$5,729.24	$10,261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.21 / $569.50 / $1,088.64	Professional		$383.21	$569.50	$1,088.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $276.25 / $532.63 / $917.03	Professional		$276.25	$532.63	$917.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.09 / $618.09 / $1,050.56	Professional		$416.09	$618.09	$1,050.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,787.48 / $2,848.62 / $26,542.00	Facility		$2,787.48	$2,848.62	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,189.00 / $3,941.84 / $4,662.08	Professional		$3,189.00	$3,941.84	$4,662.08
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 $452.21 / $655.33 / $917.03	Facility		$452.21	$655.33	$917.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $391.33 / $599.69 / $1,220.26	Professional		$391.33	$599.69	$1,220.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,232.61 / $1,232.61 / $1,650.97	Professional		$1,232.61	$1,232.61	$1,650.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $386.75 / $522.54 / $754.66	Professional		$386.75	$522.54	$754.66
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 $398.72 / $525.88 / $1,225.74	Professional		$398.72	$525.88	$1,225.74