Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $585.29 / $5,390.00 / $18,483.00	Facility		$585.29	$5,390.00	$18,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.30 / $488.15 / $4,770.45	Professional		$236.30	$488.15	$4,770.45
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 $430.36 / $782.80 / $4,491.70	Professional		$430.36	$782.80	$4,491.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $577.47 / $4,886.39	Facility		$67.90	$577.47	$4,886.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $276.66 / $516.33 / $1,023.28	Professional		$276.66	$516.33	$1,023.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $900.00 / $2,656.00	Facility		$633.00	$900.00	$2,656.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.64 / $565.44 / $5,610.76	Professional		$275.64	$565.44	$5,610.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $265.64 / $887.44 / $3,897.48	Professional		$265.64	$887.44	$3,897.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $238.38 / $1,654.67 / $4,327.59	Professional		$238.38	$1,654.67	$4,327.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,751.74 / $3,751.74	Facility		$55.00	$3,751.74	$3,751.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,427.95 / $16,269.25 / $18,816.08	Professional		$8,427.95	$16,269.25	$18,816.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,893.65	Professional		$32.34	$32.34	$1,893.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $255.74 / $552.40 / $3,789.16	Facility		$255.74	$552.40	$3,789.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $288.31 / $609.76 / $6,212.12	Professional		$288.31	$609.76	$6,212.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $793.62 / $793.62 / $9,596.98	Professional		$793.62	$793.62	$9,596.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $241.21 / $294.92 / $3,334.46	Professional		$241.21	$294.92	$3,334.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,089.45 / $3,964.00 / $9,131.00	Facility		$1,089.45	$3,964.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $483.54 / $2,587.21 / $7,314.32	Professional		$483.54	$2,587.21	$7,314.32