Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.42 / $6,516.00 / $17,809.00	Facility		$558.42	$6,516.00	$17,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.01 / $491.99 / $2,193.48	Professional		$338.01	$491.99	$2,193.48
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 $401.67 / $561.50 / $1,088.25	Professional		$401.67	$561.50	$1,088.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,677.87	Facility		$66.00	$100.00	$9,677.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $376.08 / $531.52 / $1,152.57	Professional		$376.08	$531.52	$1,152.57
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 $401.32 / $593.96 / $1,060.25	Professional		$401.32	$593.96	$1,060.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $414.00 / $532.23 / $843.72	Professional		$414.00	$532.23	$843.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.50 / $556.52 / $1,013.16	Professional		$371.50	$556.52	$1,013.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,720.00 / $1,844.38 / $26,542.00	Facility		$1,720.00	$1,844.38	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,700.40 / $3,735.84 / $4,260.75	Professional		$2,700.40	$3,735.84	$4,260.75
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 $439.36 / $607.64 / $843.72	Facility		$439.36	$607.64	$843.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $406.92 / $635.53 / $1,185.43	Professional		$406.92	$635.53	$1,185.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,205.04 / $1,205.04 / $1,744.80	Professional		$1,205.04	$1,205.04	$1,744.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $387.04 / $544.17 / $745.20	Professional		$387.04	$544.17	$745.20
United Facility/Professional Facility Modifier Low / Median / High Price $3,190.00 / $7,335.00 / $14,743.00	Facility		$3,190.00	$7,335.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $407.16 / $540.98 / $1,200.06	Professional		$407.16	$540.98	$1,200.06