Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $547.49 / $6,695.00 / $17,902.00	Facility		$547.49	$6,695.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.62 / $464.41 / $1,504.20	Professional		$329.62	$464.41	$1,504.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,400.00	Facility		$2,137.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $381.03 / $517.90 / $1,027.18	Professional		$381.03	$517.90	$1,027.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,416.95	Facility		$66.00	$100.00	$9,416.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $373.67 / $533.80 / $1,042.01	Professional		$373.67	$533.80	$1,042.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,390.96 / $1,393.42 / $2,813.00	Facility		$1,390.96	$1,393.42	$2,813.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.83 / $582.04 / $1,061.64	Professional		$397.83	$582.04	$1,061.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $218.54 / $473.28 / $856.58	Professional		$218.54	$473.28	$856.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $374.04 / $571.04 / $985.69	Professional		$374.04	$571.04	$985.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,733.72 / $1,859.06 / $26,542.00	Facility		$1,733.72	$1,859.06	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,709.76 / $3,771.44 / $4,314.68	Professional		$2,709.76	$3,771.44	$4,314.68
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 $442.28 / $590.16 / $833.44	Facility		$442.28	$590.16	$833.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $400.92 / $622.33 / $1,188.50	Professional		$400.92	$622.33	$1,188.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,218.29 / $1,218.29 / $1,777.29	Professional		$1,218.29	$1,218.29	$1,777.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $305.95 / $413.39 / $705.22	Professional		$305.95	$413.39	$705.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,371.00 / $2,699.00 / $7,655.00	Facility		$1,371.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $412.56 / $535.21 / $1,224.50	Professional		$412.56	$535.21	$1,224.50