Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $5,505.00 / $17,013.00	Facility		$490.00	$5,505.00	$17,013.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.37 / $419.43 / $1,396.00	Professional		$306.37	$419.43	$1,396.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $4,836.00 / $9,589.00	Facility		$2,143.00	$4,836.00	$9,589.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $402.15 / $559.32 / $1,174.43	Professional		$402.15	$559.32	$1,174.43
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 $311.42 / $470.22 / $1,151.99	Professional		$311.42	$470.22	$1,151.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $894.77 / $1,057.45 / $2,491.26	Facility		$894.77	$1,057.45	$2,491.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.71 / $522.36 / $1,199.43	Professional		$347.71	$522.36	$1,199.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $357.41 / $468.29 / $745.39	Professional		$357.41	$468.29	$745.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $344.04 / $518.40 / $894.36	Professional		$344.04	$518.40	$894.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,925.20 / $1,964.15	Facility		$55.00	$1,925.20	$1,964.15
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $85.24 / $169.56 / $169.56	Facility	AS	$85.24	$169.56	$169.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,415.84 / $3,367.84 / $4,039.35	Professional		$2,415.84	$3,367.84	$4,039.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $390.20 / $528.48 / $769.33	Facility		$390.20	$528.48	$769.33
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $155.84 / $155.84 / $155.84	Facility	AS	$155.84	$155.84	$155.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $361.17 / $547.98 / $1,197.51	Professional		$361.17	$547.98	$1,197.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,072.18 / $1,072.18 / $1,506.16	Professional		$1,072.18	$1,072.18	$1,506.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $357.41 / $464.63 / $643.33	Professional		$357.41	$464.63	$643.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,150.00 / $4,218.00 / $10,979.00	Facility		$2,150.00	$4,218.00	$10,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $376.80 / $540.38 / $1,609.73	Professional		$376.80	$540.38	$1,609.73