Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.39 / $9,674.00 / $22,788.00	Facility		$592.39	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.59 / $603.11 / $3,154.43	Professional		$491.59	$603.11	$3,154.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,619.00 / $8,484.00 / $18,150.00	Facility		$2,619.00	$8,484.00	$18,150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $574.49 / $795.22 / $1,568.35	Professional		$574.49	$795.22	$1,568.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $9,686.74	Facility		$66.70	$100.00	$9,686.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $460.87 / $671.43 / $1,529.05	Professional		$460.87	$671.43	$1,529.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $750.00 / $5,431.00	Facility		$633.00	$750.00	$5,431.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $557.38 / $759.80 / $1,640.93	Professional		$557.38	$759.80	$1,640.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $486.60 / $679.67 / $917.55	Professional		$486.60	$679.67	$917.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $570.97 / $742.75 / $1,361.71	Professional		$570.97	$742.75	$1,361.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,572.40 / $5,692.96	Facility		$55.00	$5,572.40	$5,692.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,535.58 / $4,535.58 / $5,321.10	Professional		$4,535.58	$4,535.58	$5,321.10
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 $594.16 / $796.88 / $1,178.47	Facility		$594.16	$796.88	$1,178.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $567.00 / $839.52 / $1,635.29	Professional		$567.00	$839.52	$1,635.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,957.27 / $1,957.27 / $1,957.27	Professional		$1,957.27	$1,957.27	$1,957.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $486.60 / $681.23 / $875.87	Professional		$486.60	$681.23	$875.87
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 $478.44 / $660.37 / $1,478.12	Professional		$478.44	$660.37	$1,478.12