Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.53 / $5,505.00 / $16,713.00	Facility		$660.53	$5,505.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.43 / $579.87 / $2,806.53	Professional		$305.43	$579.87	$2,806.53
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 $263.39 / $500.20 / $1,215.01	Professional		$263.39	$500.20	$1,215.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,343.60	Facility		$66.00	$100.00	$7,343.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $284.01 / $570.21 / $1,182.43	Professional		$284.01	$570.21	$1,182.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,336.73 / $13,140.40	Facility		$1,992.00	$7,336.73	$13,140.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.05 / $696.79 / $1,526.96	Professional		$351.05	$696.79	$1,526.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $332.84 / $647.04 / $1,284.24	Professional		$332.84	$647.04	$1,284.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $475.65 / $801.00 / $1,442.64	Professional		$475.65	$801.00	$1,442.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,100.20 / $3,237.54 / $16,394.00	Facility		$3,100.20	$3,237.54	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,911.00 / $5,506.44 / $6,037.28	Professional		$4,911.00	$5,506.44	$6,037.28
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 $332.97 / $713.52 / $1,201.07	Facility		$332.97	$713.52	$1,201.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $353.65 / $748.68 / $1,672.15	Professional		$353.65	$748.68	$1,672.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,424.97 / $1,424.97 / $2,393.91	Professional		$1,424.97	$1,424.97	$2,393.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $465.97 / $629.60 / $1,057.94	Professional		$465.97	$629.60	$1,057.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,230.00 / $4,243.00 / $9,131.00	Facility		$2,230.00	$4,243.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $511.93 / $679.89 / $1,838.35	Professional		$511.93	$679.89	$1,838.35