Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.30 / $5,505.00 / $16,713.00	Facility		$496.30	$5,505.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.25 / $496.30 / $2,274.00	Professional		$417.25	$496.30	$2,274.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,464.00 / $8,976.00	Facility		$1,759.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $528.75 / $706.70 / $1,399.89	Professional		$528.75	$706.70	$1,399.89
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 $388.18 / $554.54 / $1,260.68	Professional		$388.18	$554.54	$1,260.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.20 / $253.65 / $1,992.00	Facility		$253.20	$253.65	$1,992.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $494.56 / $627.73 / $1,282.34	Professional		$494.56	$627.73	$1,282.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $358.52 / $596.07 / $804.69	Professional		$358.52	$596.07	$804.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $487.19 / $658.85 / $1,206.95	Professional		$487.19	$658.85	$1,206.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,903.40 / $2,960.35 / $16,394.00	Facility		$2,903.40	$2,960.35	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,653.92 / $3,981.42 / $4,407.60	Professional		$3,653.92	$3,981.42	$4,407.60
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 $533.61 / $676.59 / $880.72	Facility		$533.61	$676.59	$880.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $500.67 / $667.56 / $1,336.97	Professional		$500.67	$667.56	$1,336.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,622.09 / $1,622.09 / $1,649.74	Professional		$1,622.09	$1,622.09	$1,649.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $481.17 / $549.66 / $671.81	Professional		$481.17	$549.66	$671.81
United Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,506.00 / $5,830.00	Facility		$545.00	$1,506.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $393.39 / $523.39 / $1,128.50	Professional		$393.39	$523.39	$1,128.50