Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.74 / $6,695.00 / $17,902.00	Facility		$603.74	$6,695.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.85 / $527.05 / $2,464.35	Professional		$373.85	$527.05	$2,464.35
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 $442.47 / $626.91 / $1,250.71	Professional		$442.47	$626.91	$1,250.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,616.59	Facility		$66.00	$100.00	$9,616.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $404.17 / $576.80 / $1,277.45	Professional		$404.17	$576.80	$1,277.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $3,101.23 / $5,554.45	Facility		$2,813.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.44 / $650.91 / $1,171.22	Professional		$443.44	$650.91	$1,171.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $475.42 / $600.49 / $925.61	Professional		$475.42	$600.49	$925.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.84 / $620.05 / $1,101.42	Professional		$416.84	$620.05	$1,101.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,937.08 / $2,066.30 / $26,542.00	Facility		$1,937.08	$2,066.30	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,041.84 / $4,134.56 / $4,697.33	Professional		$3,041.84	$4,134.56	$4,697.33
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 $493.00 / $657.33 / $935.23	Facility		$493.00	$657.33	$935.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $454.74 / $693.23 / $1,285.53	Professional		$454.74	$693.23	$1,285.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,359.88 / $1,359.88 / $1,926.09	Professional		$1,359.88	$1,359.88	$1,926.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $432.15 / $619.02 / $857.11	Professional		$432.15	$619.02	$857.11
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 $450.90 / $596.52 / $1,390.43	Professional		$450.90	$596.52	$1,390.43