Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $582.72 / $9,674.00 / $22,788.00	Facility		$582.72	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $480.04 / $582.72 / $2,908.47	Professional		$480.04	$582.72	$2,908.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,700.00 / $8,228.00 / $16,413.00	Facility		$1,700.00	$8,228.00	$16,413.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $548.30 / $756.06 / $1,505.71	Professional		$548.30	$756.06	$1,505.71
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 $427.23 / $636.77 / $1,448.89	Professional		$427.23	$636.77	$1,448.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $629.00 / $1,688.00	Facility		$400.00	$629.00	$1,688.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.21 / $709.15 / $1,532.32	Professional		$529.21	$709.15	$1,532.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $521.22 / $636.72 / $859.57	Professional		$521.22	$636.72	$859.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $531.88 / $694.24 / $1,264.49	Professional		$531.88	$694.24	$1,264.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,518.29 / $4,613.35	Facility		$55.00	$4,518.29	$4,613.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,040.80 / $4,125.20 / $4,925.85	Professional		$4,040.80	$4,125.20	$4,925.85
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 $552.11 / $725.73 / $1,187.46	Facility		$552.11	$725.73	$1,187.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $545.50 / $766.48 / $1,515.36	Professional		$545.50	$766.48	$1,515.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,804.64 / $1,804.64 / $1,804.64	Professional		$1,804.64	$1,804.64	$1,804.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $521.22 / $705.96 / $938.20	Professional		$521.22	$705.96	$938.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,324.00 / $3,965.00 / $10,979.00	Facility		$1,324.00	$3,965.00	$10,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $439.29 / $599.96 / $1,350.87	Professional		$439.29	$599.96	$1,350.87