Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $817.25 / $5,829.00 / $17,133.00	Facility		$817.25	$5,829.00	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.80 / $622.78 / $1,781.77	Professional		$132.80	$622.78	$1,781.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,464.00 / $10,705.00	Facility		$873.00	$4,464.00	$10,705.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.18 / $1,178.17 / $2,712.75	Professional		$255.18	$1,178.17	$2,712.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $782.63 / $8,114.52	Facility		$67.90	$782.63	$8,114.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $156.33 / $589.67 / $1,537.79	Professional		$156.33	$589.67	$1,537.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $2,128.87 / $5,685.39	Facility		$633.00	$2,128.87	$5,685.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.91 / $476.05 / $1,490.71	Professional		$152.91	$476.05	$1,490.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $141.32 / $752.05 / $1,079.99	Professional		$141.32	$752.05	$1,079.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $572.42 / $1,113.05	Professional		$128.69	$572.42	$1,113.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,004.29 / $1,004.29	Facility		$55.00	$1,004.29	$1,004.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,266.33 / $4,370.47 / $5,126.03	Professional		$2,266.33	$4,370.47	$5,126.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $509.03	Professional		$32.34	$32.34	$509.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.87 / $561.79 / $1,091.76	Facility		$140.87	$561.79	$1,091.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.71 / $506.42 / $1,618.62	Professional		$158.71	$506.42	$1,618.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $435.20 / $435.20 / $2,359.84	Professional		$435.20	$435.20	$2,359.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $128.36 / $727.84 / $1,052.85	Professional		$128.36	$727.84	$1,052.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,922.60 / $9,071.00 / $20,988.00	Facility		$2,922.60	$9,071.00	$20,988.00
United Facility/Professional Professional Modifier Low / Median / High Price $573.10 / $873.40 / $1,809.07	Professional		$573.10	$873.40	$1,809.07