Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $520.94 / $9,674.00 / $22,788.00	Facility		$520.94	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.36 / $549.27 / $2,869.87	Professional		$428.36	$549.27	$2,869.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $6,914.64 / $14,743.00	Facility		$2,275.00	$6,914.64	$14,743.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $477.57 / $629.62 / $1,302.52	Professional		$477.57	$629.62	$1,302.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $5,403.01	Facility		$66.70	$100.00	$5,403.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $350.64 / $508.02 / $1,225.53	Professional		$350.64	$508.02	$1,225.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.51 / $750.00 / $5,431.00	Facility		$630.51	$750.00	$5,431.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $458.64 / $668.70 / $1,551.72	Professional		$458.64	$668.70	$1,551.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $634.98 / $698.48 / $857.22	Professional		$634.98	$698.48	$857.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $526.84 / $688.52 / $1,247.64	Professional		$526.84	$688.52	$1,247.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,812.34 / $3,882.60	Facility		$55.00	$3,812.34	$3,882.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,977.36 / $4,050.16 / $4,839.75	Professional		$3,977.36	$4,050.16	$4,839.75
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 $523.54 / $689.52 / $1,015.97	Facility		$523.54	$689.52	$1,015.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $470.89 / $714.91 / $1,504.09	Professional		$470.89	$714.91	$1,504.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,780.70 / $1,780.70 / $1,780.70	Professional		$1,780.70	$1,780.70	$1,780.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $512.14 / $704.20 / $704.20	Professional		$512.14	$704.20	$704.20
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 $415.74 / $577.07 / $1,383.46	Professional		$415.74	$577.07	$1,383.46