Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $665.66 / $4,848.00 / $16,713.00	Facility		$665.66	$4,848.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.25 / $540.02 / $1,645.00	Professional		$289.25	$540.02	$1,645.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,597.00 / $9,381.00	Facility		$1,723.00	$4,597.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $442.77 / $603.84 / $1,509.68	Professional		$442.77	$603.84	$1,509.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,848.26	Facility		$66.00	$100.00	$6,848.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $306.42 / $542.66 / $1,049.04	Professional		$306.42	$542.66	$1,049.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,816.42 / $1,819.64 / $4,445.00	Facility		$1,816.42	$1,819.64	$4,445.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.73 / $635.97 / $1,307.65	Professional		$342.73	$635.97	$1,307.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $373.25 / $503.89 / $1,143.98	Professional		$373.25	$503.89	$1,143.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.63 / $692.55 / $1,283.88	Professional		$338.63	$692.55	$1,283.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,261.40 / $2,312.52	Facility		$55.00	$2,261.40	$2,312.52
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $151.53 / $163.95 / $163.95	Facility	AS	$151.53	$163.95	$163.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,607.79 / $4,841.20 / $5,749.20	Professional		$2,607.79	$4,841.20	$5,749.20
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 $388.21 / $647.02 / $1,097.52	Facility		$388.21	$647.02	$1,097.52
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $56.18 / $56.18 / $224.97	Facility	AS	$56.18	$56.18	$224.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $353.66 / $674.63 / $1,575.52	Professional		$353.66	$674.63	$1,575.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,048.90 / $1,048.90 / $2,129.64	Professional		$1,048.90	$1,048.90	$2,129.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $336.09 / $671.85 / $941.51	Professional		$336.09	$671.85	$941.51
United Facility/Professional Facility Modifier Low / Median / High Price $3,698.00 / $7,312.00 / $16,855.00	Facility		$3,698.00	$7,312.00	$16,855.00
United Facility/Professional Professional Modifier Low / Median / High Price $494.64 / $649.73 / $1,470.31	Professional		$494.64	$649.73	$1,470.31