Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $744.61 / $5,812.00 / $16,713.00	Facility		$744.61	$5,812.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.54 / $727.81 / $4,171.32	Professional		$512.54	$727.81	$4,171.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,400.00	Facility		$2,137.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $452.85 / $810.88 / $1,619.02	Professional		$452.85	$810.88	$1,619.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,848.26	Facility		$66.00	$100.00	$6,848.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $419.48 / $584.63 / $1,384.98	Professional		$419.48	$584.63	$1,384.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,291.00 / $1,293.28 / $2,312.23	Facility		$1,291.00	$1,293.28	$2,312.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $566.00 / $887.62 / $2,069.59	Professional		$566.00	$887.62	$2,069.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $244.97 / $995.30 / $1,477.46	Professional		$244.97	$995.30	$1,477.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $802.67 / $1,167.49 / $1,909.09	Professional		$802.67	$1,167.49	$1,909.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,296.32 / $5,529.30 / $16,394.00	Facility		$5,296.32	$5,529.30	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,560.64 / $6,786.96 / $7,942.13	Professional		$5,560.64	$6,786.96	$7,942.13
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 $417.03 / $1,034.52 / $1,555.73	Facility		$417.03	$1,034.52	$1,555.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $574.67 / $968.95 / $2,223.83	Professional		$574.67	$968.95	$2,223.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,429.26 / $2,429.26 / $2,982.25	Professional		$2,429.26	$2,429.26	$2,982.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $342.96 / $905.39 / $1,369.04	Professional		$342.96	$905.39	$1,369.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,213.00 / $9,131.00	Facility		$2,090.00	$4,213.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $583.74 / $792.42 / $1,926.61	Professional		$583.74	$792.42	$1,926.61