Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $539.05 / $4,848.00 / $16,573.00	Facility		$539.05	$4,848.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.51 / $523.04 / $2,661.91	Professional		$431.51	$523.04	$2,661.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,597.00 / $9,381.00	Facility		$1,723.00	$4,597.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $543.95 / $691.99 / $1,370.76	Professional		$543.95	$691.99	$1,370.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,367.09	Facility		$66.00	$100.00	$5,367.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $413.89 / $587.49 / $1,334.47	Professional		$413.89	$587.49	$1,334.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $1,646.28 / $2,948.55	Facility		$1,487.00	$1,646.28	$2,948.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.08 / $650.78 / $1,384.38	Professional		$495.08	$650.78	$1,384.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $269.17 / $689.03 / $941.68	Professional		$269.17	$689.03	$941.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $532.42 / $717.81 / $1,241.50	Professional		$532.42	$717.81	$1,241.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,443.48 / $2,680.52 / $12,000.00	Facility		$2,443.48	$2,680.52	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,774.64 / $4,220.80 / $4,936.20	Professional		$3,774.64	$4,220.80	$4,936.20
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 $499.20 / $696.24 / $941.68	Facility		$499.20	$696.24	$941.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $502.52 / $694.10 / $1,409.53	Professional		$502.52	$694.10	$1,409.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,651.68 / $1,651.68 / $1,813.97	Professional		$1,651.68	$1,651.68	$1,813.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $376.84 / $568.98 / $774.55	Professional		$376.84	$568.98	$774.55
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 $429.03 / $558.72 / $1,204.16	Professional		$429.03	$558.72	$1,204.16