Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,399.50 / $6,516.00 / $17,380.00	Facility		$1,399.50	$6,516.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.00 / $431.13 / $1,987.87	Professional		$369.00	$431.13	$1,987.87
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 $497.67 / $654.79 / $1,258.97	Professional		$497.67	$654.79	$1,258.97
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,720.31	Facility		$66.00	$100.00	$6,720.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $318.72 / $455.32 / $1,018.37	Professional		$318.72	$455.32	$1,018.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,390.96 / $1,393.42 / $5,980.00	Facility		$1,390.96	$1,393.42	$5,980.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $431.63 / $540.91 / $1,174.30	Professional		$431.63	$540.91	$1,174.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $351.08 / $494.33 / $667.35	Professional		$351.08	$494.33	$667.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.78 / $565.34 / $996.80	Professional		$407.78	$565.34	$996.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,601.16 / $4,017.35	Facility		$55.00	$1,601.16	$4,017.35
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $96.77 / $380.79 / $380.79	Facility	AS	$96.77	$380.79	$380.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,082.08 / $3,144.72 / $3,689.10	Professional		$3,082.08	$3,144.72	$3,689.10
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 $439.04 / $546.20 / $753.79	Facility		$439.04	$546.20	$753.79
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $48.13 / $48.13 / $138.04	Facility	AS	$48.13	$48.13	$138.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $431.63 / $568.47 / $1,144.07	Professional		$431.63	$568.47	$1,144.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,373.55 / $1,373.55 / $1,373.55	Professional		$1,373.55	$1,373.55	$1,373.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $398.89 / $526.62 / $664.11	Professional		$398.89	$526.62	$664.11
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,352.00 / $14,743.00	Facility		$3,459.00	$7,352.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $337.95 / $453.25 / $1,002.30	Professional		$337.95	$453.25	$1,002.30