Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $510.59 / $9,674.00 / $22,788.00	Facility		$510.59	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.30 / $475.73 / $2,375.06	Professional		$416.30	$475.73	$2,375.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $5,106.00 / $13,517.23	Facility		$1,546.00	$5,106.00	$13,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $456.83 / $583.59 / $1,184.24	Professional		$456.83	$583.59	$1,184.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,487.90	Facility		$63.90	$100.00	$5,487.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $355.75 / $534.77 / $1,202.84	Professional		$355.75	$534.77	$1,202.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $514.80 / $750.00 / $5,431.00	Facility		$514.80	$750.00	$5,431.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.95 / $590.96 / $1,293.33	Professional		$436.95	$590.96	$1,293.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $416.23 / $530.07 / $715.59	Professional		$416.23	$530.07	$715.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $434.45 / $570.61 / $1,018.01	Professional		$434.45	$570.61	$1,018.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,125.82 / $3,213.30	Facility		$55.00	$3,125.82	$3,213.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,304.00 / $3,395.28 / $3,837.83	Professional		$3,304.00	$3,395.28	$3,837.83
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 $415.30 / $571.67 / $831.00	Facility		$415.30	$571.67	$831.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $437.55 / $629.60 / $1,236.22	Professional		$437.55	$629.60	$1,236.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,473.68 / $1,473.68 / $1,473.68	Professional		$1,473.68	$1,473.68	$1,473.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $416.23 / $582.72 / $749.22	Professional		$416.23	$582.72	$749.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.00 / $4,820.00 / $20,279.00	Facility		$1,055.00	$4,820.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $362.60 / $496.45 / $1,159.45	Professional		$362.60	$496.45	$1,159.45