Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.91 / $5,505.00 / $16,713.00	Facility		$526.91	$5,505.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.27 / $473.89 / $1,304.02	Professional		$314.27	$473.89	$1,304.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.50 / $524.71 / $1,033.33	Professional		$367.50	$524.71	$1,033.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,159.08	Facility		$66.00	$100.00	$7,159.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $322.67 / $460.96 / $1,000.79	Professional		$322.67	$460.96	$1,000.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $3,101.23 / $5,554.45	Facility		$1,992.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.80 / $560.16 / $1,039.50	Professional		$377.80	$560.16	$1,039.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $253.16 / $470.83 / $855.44	Professional		$253.16	$470.83	$855.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $370.91 / $570.29 / $982.17	Professional		$370.91	$570.29	$982.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,711.20 / $1,844.33 / $16,394.00	Facility		$1,711.20	$1,844.33	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,664.32 / $3,733.20 / $4,313.85	Professional		$2,664.32	$3,733.20	$4,313.85
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 $437.50 / $567.39 / $823.76	Facility		$437.50	$567.39	$823.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $385.01 / $604.37 / $1,160.02	Professional		$385.01	$604.37	$1,160.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,186.67 / $1,186.67 / $1,752.88	Professional		$1,186.67	$1,186.67	$1,752.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $345.79 / $475.46 / $704.21	Professional		$345.79	$475.46	$704.21
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $406.89 / $533.84 / $1,231.73	Professional		$406.89	$533.84	$1,231.73