Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $677.87 / $9,006.00 / $20,135.00	Facility		$677.87	$9,006.00	$20,135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $566.47 / $672.35 / $3,410.35	Professional		$566.47	$672.35	$3,410.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,644.00 / $13,974.00 / $37,078.55	Facility		$4,644.00	$13,974.00	$37,078.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $799.37 / $1,033.19 / $1,886.35	Professional		$799.37	$1,033.19	$1,886.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,509.60	Facility		$64.40	$100.00	$5,509.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $567.09 / $810.13 / $1,792.44	Professional		$567.09	$810.13	$1,792.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $670.04 / $867.45 / $1,833.52	Professional		$670.04	$867.45	$1,833.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $597.33 / $806.40	Professional		$505.96	$597.33	$806.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $514.07 / $705.75 / $1,274.43	Professional		$514.07	$705.75	$1,274.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,205.25 / $3,283.85	Facility		$55.00	$3,205.25	$3,283.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,831.09 / $4,912.80 / $4,990.52	Professional		$4,831.09	$4,912.80	$4,990.52
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 $631.73 / $751.86 / $1,164.39	Facility		$631.73	$751.86	$1,164.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $670.04 / $898.06 / $1,738.03	Professional		$670.04	$898.06	$1,738.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,116.07 / $2,116.07 / $2,116.07	Professional		$2,116.07	$2,116.07	$2,116.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $661.64 / $957.08	Professional		$505.96	$661.64	$957.08
United Facility/Professional Facility Modifier Low / Median / High Price $6,366.00 / $13,555.00 / $29,312.00	Facility		$6,366.00	$13,555.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $512.92 / $707.55 / $1,411.75	Professional		$512.92	$707.55	$1,411.75