Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,441.56 / $6,695.00 / $19,011.00	Facility		$1,441.56	$6,695.00	$19,011.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.98 / $445.67 / $1,852.01	Professional		$359.98	$445.67	$1,852.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,720.00 / $10,404.00	Facility		$1,723.00	$4,720.00	$10,404.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $484.69 / $644.22 / $1,238.63	Professional		$484.69	$644.22	$1,238.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,854.54	Facility		$66.00	$100.00	$6,854.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $313.50 / $447.86 / $1,001.00	Professional		$313.50	$447.86	$1,001.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,360.35 / $2,364.53 / $5,980.00	Facility		$2,360.35	$2,364.53	$5,980.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.51 / $531.63 / $1,149.11	Professional		$423.51	$531.63	$1,149.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $345.12 / $484.29 / $653.79	Professional		$345.12	$484.29	$653.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $401.10 / $554.65 / $980.47	Professional		$401.10	$554.65	$980.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,584.56 / $6,817.20	Facility		$55.00	$1,584.56	$6,817.20
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $95.10 / $646.16 / $646.16	Facility	AS	$95.10	$646.16	$646.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,034.96 / $3,090.16 / $3,658.58	Professional		$3,034.96	$3,090.16	$3,658.58
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 $432.65 / $539.39 / $739.54	Facility		$432.65	$539.39	$739.54
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $47.50 / $47.50 / $136.72	Facility	AS	$47.50	$47.50	$136.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $424.25 / $558.84 / $1,124.92	Professional		$424.25	$558.84	$1,124.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,352.84 / $1,352.84 / $1,352.84	Professional		$1,352.84	$1,352.84	$1,352.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $390.70 / $517.67 / $652.84	Professional		$390.70	$517.67	$652.84
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,352.00 / $14,743.00	Facility		$3,523.00	$7,352.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $327.79 / $445.60 / $923.80	Professional		$327.79	$445.60	$923.80