Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $530.86 / $5,980.00 / $16,850.00	Facility		$530.86	$5,980.00	$16,850.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.49 / $477.51 / $1,840.97	Professional		$317.49	$477.51	$1,840.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,978.00 / $13,707.00	Facility		$2,456.00	$6,978.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $365.06 / $496.61 / $997.91	Professional		$365.06	$496.61	$997.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $7,602.09	Facility		$66.90	$100.00	$7,602.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $357.75 / $511.07 / $1,014.28	Professional		$357.75	$511.07	$1,014.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,646.28 / $1,649.19 / $2,948.55	Facility		$1,646.28	$1,649.19	$2,948.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.80 / $564.30 / $1,079.50	Professional		$374.80	$564.30	$1,079.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $164.18 / $515.12 / $907.94	Professional		$164.18	$515.12	$907.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $397.79 / $607.74 / $1,034.61	Professional		$397.79	$607.74	$1,034.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,801.84 / $1,991.87 / $26,542.00	Facility		$1,801.84	$1,991.87	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $177.12 / $199.19 / $199.19	Facility	AS	$177.12	$199.19	$199.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,829.60 / $3,891.36 / $4,512.30	Professional		$2,829.60	$3,891.36	$4,512.30
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 $408.32 / $561.95 / $845.43	Facility		$408.32	$561.95	$845.43
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $64.73 / $64.73 / $171.78	Facility	AS	$64.73	$64.73	$171.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $385.83 / $597.92 / $1,156.90	Professional		$385.83	$597.92	$1,156.90
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $3,841.00 / $3,841.00 / $3,841.00	Facility		$3,841.00	$3,841.00	$3,841.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,225.08 / $1,225.08 / $1,773.26	Professional		$1,225.08	$1,225.08	$1,773.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $229.86 / $425.72 / $747.53	Professional		$229.86	$425.72	$747.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,560.85 / $7,274.00 / $14,743.00	Facility		$2,560.85	$7,274.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $397.66 / $523.58 / $1,195.67	Professional		$397.66	$523.58	$1,195.67