Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $587.46 / $5,505.00 / $16,713.00	Facility		$587.46	$5,505.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.26 / $487.40 / $1,933.29	Professional		$340.26	$487.40	$1,933.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,931.00 / $11,456.00	Facility		$2,143.00	$5,931.00	$11,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $432.22 / $621.75 / $1,178.31	Professional		$432.22	$621.75	$1,178.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,182.43	Facility		$66.00	$100.00	$7,182.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $331.03 / $472.90 / $1,018.08	Professional		$331.03	$472.90	$1,018.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.27 / $541.83 / $1,055.83	Professional		$370.27	$541.83	$1,055.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $390.92 / $540.64 / $794.00	Professional		$390.92	$540.64	$794.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $383.12 / $581.16 / $1,069.00	Professional		$383.12	$581.16	$1,069.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,569.44 / $7,909.30 / $16,394.00	Facility		$2,569.44	$7,909.30	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.00 / $3,808.80 / $4,450.95	Professional		$3,019.00	$3,808.80	$4,450.95
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 $383.12 / $545.99 / $846.14	Facility		$383.12	$545.99	$846.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $375.23 / $565.77 / $1,057.68	Professional		$375.23	$565.77	$1,057.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,196.15 / $1,196.15 / $1,714.27	Professional		$1,196.15	$1,196.15	$1,714.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $390.92 / $547.28 / $739.46	Professional		$390.92	$547.28	$739.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,348.00 / $4,243.00 / $9,131.00	Facility		$2,348.00	$4,243.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $398.16 / $529.55 / $1,250.82	Professional		$398.16	$529.55	$1,250.82