Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $561.33 / $5,165.00 / $17,380.00	Facility		$561.33	$5,165.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.98 / $474.33 / $1,880.15	Professional		$329.98	$474.33	$1,880.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,417.00 / $9,244.00	Facility		$873.00	$4,417.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.23 / $532.76 / $1,123.03	Professional		$366.23	$532.76	$1,123.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $5,367.09	Facility		$67.90	$100.00	$5,367.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $338.05 / $491.89 / $1,101.28	Professional		$338.05	$491.89	$1,101.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $1,654.75 / $4,704.56	Facility		$400.00	$1,654.75	$4,704.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.75 / $555.63 / $1,119.41	Professional		$368.75	$555.63	$1,119.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $342.14 / $507.30 / $909.66	Professional		$342.14	$507.30	$909.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $366.36 / $577.05 / $1,021.04	Professional		$366.36	$577.05	$1,021.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,469.30 / $2,533.56 / $12,000.00	Facility		$2,469.30	$2,533.56	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,998.00 / $3,913.20 / $4,579.80	Professional		$2,998.00	$3,913.20	$4,579.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $547.48	Professional		$32.34	$32.34	$547.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $391.46 / $576.76 / $963.49	Facility		$391.46	$576.76	$963.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $380.66 / $620.99 / $1,294.08	Professional		$380.66	$620.99	$1,294.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,140.06 / $1,140.06 / $1,690.64	Professional		$1,140.06	$1,140.06	$1,690.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $342.14 / $469.47 / $748.76	Professional		$342.14	$469.47	$748.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,540.00 / $3,964.00 / $9,131.00	Facility		$1,540.00	$3,964.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $394.20 / $539.54 / $1,281.77	Professional		$394.20	$539.54	$1,281.77