Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.02 / $6,695.00 / $18,252.00	Facility		$803.02	$6,695.00	$18,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.64 / $670.37 / $3,148.70	Professional		$531.64	$670.37	$3,148.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $8,484.00 / $16,676.00	Facility		$2,675.00	$8,484.00	$16,676.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $623.07 / $864.43 / $1,694.37	Professional		$623.07	$864.43	$1,694.37
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,677.87	Facility		$66.00	$100.00	$9,677.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $473.00 / $674.86 / $1,521.33	Professional		$473.00	$674.86	$1,521.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,738.49 / $2,743.34 / $4,904.76	Facility		$2,738.49	$2,743.34	$4,904.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $604.50 / $865.92 / $1,671.65	Professional		$604.50	$865.92	$1,671.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $295.23 / $745.27 / $1,099.93	Professional		$295.23	$745.27	$1,099.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $566.61 / $791.42 / $1,356.00	Professional		$566.61	$791.42	$1,356.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,791.10 / $3,850.56 / $26,542.00	Facility		$3,791.10	$3,850.56	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,008.16 / $4,721.60 / $5,455.58	Professional		$4,008.16	$4,721.60	$5,455.58
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 $653.04 / $815.30 / $1,149.65	Facility		$653.04	$815.30	$1,149.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $604.87 / $909.59 / $1,678.04	Professional		$604.87	$909.59	$1,678.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,885.34 / $1,885.34 / $2,245.98	Professional		$1,885.34	$1,885.34	$2,245.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $413.33 / $616.08 / $905.65	Professional		$413.33	$616.08	$905.65
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,352.00 / $14,743.00	Facility		$3,523.00	$7,352.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $536.76 / $728.46 / $1,763.12	Professional		$536.76	$728.46	$1,763.12