Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $5,856.00 / $17,701.00	Facility		$550.00	$5,856.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.98 / $321.49 / $1,495.89	Professional		$179.98	$321.49	$1,495.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,785.00 / $11,456.00	Facility		$1,759.00	$4,785.00	$11,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $452.99 / $642.40 / $1,250.22	Professional		$452.99	$642.40	$1,250.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,300.60	Facility		$66.00	$100.00	$7,300.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $337.67 / $498.65 / $1,209.91	Professional		$337.67	$498.65	$1,209.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,811.56 / $3,322.76 / $7,828.13	Facility		$2,811.56	$3,322.76	$7,828.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.04 / $468.54 / $1,018.11	Professional		$292.04	$468.54	$1,018.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $321.75 / $392.12 / $658.02	Professional		$321.75	$392.12	$658.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $289.54 / $436.11 / $751.57	Professional		$289.54	$436.11	$751.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,331.60 / $1,429.42 / $16,394.00	Facility		$1,331.60	$1,429.42	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,954.00 / $4,954.00 / $4,954.00	Professional		$4,954.00	$4,954.00	$4,954.00
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 $312.30 / $489.74 / $713.20	Facility		$312.30	$489.74	$713.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $316.35 / $498.81 / $1,000.77	Professional		$316.35	$498.81	$1,000.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $928.18 / $928.18 / $1,261.17	Professional		$928.18	$928.18	$1,261.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $296.95 / $393.92 / $541.64	Professional		$296.95	$393.92	$541.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $2,761.00 / $10,579.00	Facility		$1,407.00	$2,761.00	$10,579.00
United Facility/Professional Professional Modifier Low / Median / High Price $316.35 / $468.70 / $1,146.54	Professional		$316.35	$468.70	$1,146.54