Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.20 / $5,505.00 / $16,713.00	Facility		$562.20	$5,505.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.83 / $506.87 / $1,409.12	Professional		$315.83	$506.87	$1,409.12
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 $366.31 / $513.59 / $1,035.63	Professional		$366.31	$513.59	$1,035.63
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 $363.03 / $541.04 / $1,051.21	Professional		$363.03	$541.04	$1,051.21
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 $382.87 / $593.72 / $1,081.16	Professional		$382.87	$593.72	$1,081.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $295.23 / $497.92 / $864.41	Professional		$295.23	$497.92	$864.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $358.80 / $565.33 / $977.27	Professional		$358.80	$565.33	$977.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,660.48 / $1,784.58 / $16,394.00	Facility		$1,660.48	$1,784.58	$16,394.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $160.77 / $178.46 / $178.46	Facility	AS	$160.77	$178.46	$178.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,561.84 / $3,888.48 / $4,347.30	Professional		$2,561.84	$3,888.48	$4,347.30
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 $422.44 / $612.03 / $908.38	Facility		$422.44	$612.03	$908.38
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $59.17 / $59.17 / $173.86	Facility	AS	$59.17	$59.17	$173.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $388.54 / $634.57 / $1,211.00	Professional		$388.54	$634.57	$1,211.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,166.59 / $1,166.59 / $1,800.14	Professional		$1,166.59	$1,166.59	$1,800.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $367.18 / $484.01 / $711.55	Professional		$367.18	$484.01	$711.55
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 $417.96 / $558.62 / $1,238.79	Professional		$417.96	$558.62	$1,238.79