Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $516.44 / $4,941.00 / $16,125.00	Facility		$516.44	$4,941.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.23 / $467.74 / $1,300.31	Professional		$300.23	$467.74	$1,300.31
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 $354.88 / $506.70 / $1,129.13	Professional		$354.88	$506.70	$1,129.13
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 $341.47 / $502.58 / $976.83	Professional		$341.47	$502.58	$976.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $2,360.35 / $4,227.49	Facility		$1,992.00	$2,360.35	$4,227.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.22 / $562.53 / $1,090.20	Professional		$369.22	$562.53	$1,090.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $392.94 / $511.76 / $772.12	Professional		$392.94	$511.76	$772.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $343.99 / $514.75 / $891.56	Professional		$343.99	$514.75	$891.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,601.68 / $1,704.44	Facility		$55.00	$1,601.68	$1,704.44
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $154.86 / $170.44 / $170.44	Facility	AS	$154.86	$170.44	$170.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,483.44 / $3,413.92 / $3,934.28	Professional		$2,483.44	$3,413.92	$3,934.28
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 $405.19 / $540.26 / $779.99	Facility		$405.19	$540.26	$779.99
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $57.49 / $57.49 / $158.79	Facility	AS	$57.49	$57.49	$158.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $376.04 / $602.32 / $1,200.14	Professional		$376.04	$602.32	$1,200.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,132.19 / $1,132.19 / $1,656.33	Professional		$1,132.19	$1,132.19	$1,656.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $357.08 / $519.99 / $730.45	Professional		$357.08	$519.99	$730.45
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,335.00 / $14,743.00	Facility		$3,523.00	$7,335.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $397.44 / $526.03 / $1,134.98	Professional		$397.44	$526.03	$1,134.98