Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.33 / $4,950.00 / $17,030.00	Facility		$951.33	$4,950.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.78 / $639.66 / $2,888.30	Professional		$346.78	$639.66	$2,888.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,604.00 / $9,589.00	Facility		$1,723.00	$4,604.00	$9,589.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $408.37 / $629.71 / $2,412.79	Professional		$408.37	$629.71	$2,412.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,142.12	Facility		$66.00	$100.00	$5,142.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $420.91 / $833.85 / $1,644.15	Professional		$420.91	$833.85	$1,644.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,567.44 / $4,598.39	Facility		$2,277.00	$2,567.44	$4,598.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $441.05 / $712.00 / $2,656.00	Professional		$441.05	$712.00	$2,656.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $231.94 / $602.29 / $813.09	Professional		$231.94	$602.29	$813.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $521.20 / $721.66 / $1,277.05	Professional		$521.20	$721.66	$1,277.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,295.38 / $7,415.30 / $12,000.00	Facility		$3,295.38	$7,415.30	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,973.92 / $14,265.96 / $14,693.94	Professional		$3,973.92	$14,265.96	$14,693.94
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 $545.47 / $750.53 / $2,501.03	Facility		$545.47	$750.53	$2,501.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $442.96 / $742.17 / $2,457.37	Professional		$442.96	$742.17	$2,457.37
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,792.13 / $1,792.13 / $1,792.13	Professional		$1,792.13	$1,792.13	$1,792.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $301.52 / $484.42 / $666.07	Professional		$301.52	$484.42	$666.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,060.00 / $9,131.00	Facility		$2,090.00	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $430.19 / $763.02 / $2,155.98	Professional		$430.19	$763.02	$2,155.98