Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $554.73 / $6,264.00 / $17,133.00	Facility		$554.73	$6,264.00	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.33 / $471.42 / $1,349.77	Professional		$313.33	$471.42	$1,349.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.76 / $516.66 / $1,029.81	Professional		$366.76	$516.66	$1,029.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,263.42	Facility		$66.00	$100.00	$8,263.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $360.15 / $537.79 / $1,046.10	Professional		$360.15	$537.79	$1,046.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $6,894.76 / $12,348.83	Facility		$2,277.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.33 / $584.90 / $1,083.58	Professional		$376.33	$584.90	$1,083.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $215.19 / $478.21 / $914.68	Professional		$215.19	$478.21	$914.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $377.93 / $599.44 / $1,036.16	Professional		$377.93	$599.44	$1,036.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,727.12 / $1,876.87 / $26,542.00	Facility		$1,727.12	$1,876.87	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,714.64 / $3,976.72 / $4,606.95	Professional		$2,714.64	$3,976.72	$4,606.95
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 $412.22 / $569.49 / $857.20	Facility		$412.22	$569.49	$857.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $383.10 / $623.38 / $1,225.33	Professional		$383.10	$623.38	$1,225.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,184.06 / $1,184.06 / $1,836.83	Professional		$1,184.06	$1,184.06	$1,836.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $301.27 / $407.06 / $752.97	Professional		$301.27	$407.06	$752.97
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 $426.06 / $552.29 / $1,260.33	Professional		$426.06	$552.29	$1,260.33