Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.17 / $5,382.00 / $16,713.00	Facility		$521.17	$5,382.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.27 / $521.17 / $2,591.79	Professional		$420.27	$521.17	$2,591.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,597.00 / $9,381.00	Facility		$1,787.00	$4,597.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $525.73 / $670.45 / $1,324.84	Professional		$525.73	$670.45	$1,324.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,919.63	Facility		$66.00	$100.00	$6,919.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $395.97 / $561.99 / $1,286.68	Professional		$395.97	$561.99	$1,286.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,646.28 / $1,649.19 / $2,948.55	Facility		$1,646.28	$1,649.19	$2,948.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $477.61 / $631.38 / $1,314.77	Professional		$477.61	$631.38	$1,314.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $259.87 / $672.96 / $917.61	Professional		$259.87	$672.96	$917.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $519.52 / $698.66 / $1,210.81	Professional		$519.52	$698.66	$1,210.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,384.16 / $2,614.26 / $16,394.00	Facility		$2,384.16	$2,614.26	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,677.68 / $4,109.04 / $4,794.89	Professional		$3,677.68	$4,109.04	$4,794.89
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 $473.65 / $677.60 / $917.61	Facility		$473.65	$677.60	$917.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $485.56 / $672.77 / $1,351.39	Professional		$485.56	$672.77	$1,351.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,608.17 / $1,608.17 / $1,764.45	Professional		$1,608.17	$1,608.17	$1,764.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $291.05 / $536.14 / $754.81	Professional		$291.05	$536.14	$754.81
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,523.00 / $5,830.00	Facility		$548.00	$1,523.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $417.15 / $541.66 / $1,212.13	Professional		$417.15	$541.66	$1,212.13