Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $5,324.00 / $16,713.00	Facility		$490.00	$5,324.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.25 / $442.67 / $1,828.28	Professional		$380.25	$442.67	$1,828.28
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 $463.36 / $607.30 / $1,167.67	Professional		$463.36	$607.30	$1,167.67
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 $344.98 / $472.98 / $1,067.25	Professional		$344.98	$472.98	$1,067.25
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 $423.98 / $566.79 / $1,209.95	Professional		$423.98	$566.79	$1,209.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $236.04 / $617.73 / $848.58	Professional		$236.04	$617.73	$848.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $475.86 / $642.21 / $1,104.51	Professional		$475.86	$642.21	$1,104.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,156.60 / $2,384.73 / $16,394.00	Facility		$2,156.60	$2,384.73	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,330.48 / $3,745.36 / $4,378.43	Professional		$3,330.48	$3,745.36	$4,378.43
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 $441.07 / $611.96 / $839.41	Facility		$441.07	$611.96	$839.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $429.93 / $607.38 / $1,236.13	Professional		$429.93	$607.38	$1,236.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,442.73 / $1,442.73 / $1,594.20	Professional		$1,442.73	$1,442.73	$1,594.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $330.45 / $507.74 / $698.15	Professional		$330.45	$507.74	$698.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,410.00 / $2,699.00 / $7,655.00	Facility		$1,410.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $375.03 / $480.41 / $1,065.40	Professional		$375.03	$480.41	$1,065.40