Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $670.11 / $6,322.00 / $17,902.00	Facility		$670.11	$6,322.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.70 / $607.63 / $1,308.68	Professional		$408.70	$607.63	$1,308.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $540.42 / $692.59 / $1,361.88	Professional		$540.42	$692.59	$1,361.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,337.77	Facility		$66.00	$100.00	$8,337.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $440.86 / $608.71 / $1,384.27	Professional		$440.86	$608.71	$1,384.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,101.23 / $5,554.45	Facility		$2,277.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.06 / $718.23 / $1,338.24	Professional		$489.06	$718.23	$1,338.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $295.23 / $610.35 / $1,089.25	Professional		$295.23	$610.35	$1,089.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $481.28 / $726.17 / $1,251.92	Professional		$481.28	$726.17	$1,251.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,213.08 / $2,390.87 / $26,542.00	Facility		$2,213.08	$2,390.87	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $215.87 / $239.09 / $239.09	Facility	AS	$215.87	$239.09	$239.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,436.64 / $4,746.47 / $5,528.55	Professional		$3,436.64	$4,746.47	$5,528.55
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 $532.23 / $705.01 / $1,054.58	Facility		$532.23	$705.01	$1,054.58
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $250.79 / $250.79 / $250.79	Facility	80	$250.79	$250.79	$250.79
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $79.52 / $79.52 / $213.17	Facility	AS	$79.52	$79.52	$213.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $500.55 / $773.93 / $1,469.81	Professional		$500.55	$773.93	$1,469.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,523.07 / $1,523.07 / $2,203.48	Professional		$1,523.07	$1,523.07	$2,203.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $413.33 / $558.47 / $896.53	Professional		$413.33	$558.47	$896.53
United Facility/Professional Facility Modifier Low / Median / High Price $3,631.00 / $9,606.00 / $20,988.00	Facility		$3,631.00	$9,606.00	$20,988.00
United Facility/Professional Professional Modifier Low / Median / High Price $513.54 / $665.70 / $1,513.15	Professional		$513.54	$665.70	$1,513.15