Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,390.35 / $5,984.84 / $18,958.54	Facility		$1,390.35	$5,984.84	$18,958.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.74 / $365.53 / $1,055.56	Professional		$171.74	$365.53	$1,055.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,977.00 / $14,341.00	Facility		$2,143.00	$5,977.00	$14,341.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $460.39 / $655.20 / $1,290.50	Professional		$460.39	$655.20	$1,290.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,109.29	Facility		$66.00	$100.00	$9,109.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $329.50 / $470.71 / $1,025.13	Professional		$329.50	$470.71	$1,025.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,806.00 / $50,000.00 / $50,000.00	Facility		$6,806.00	$50,000.00	$50,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.53 / $509.11 / $1,024.51	Professional		$372.53	$509.11	$1,024.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $378.26 / $421.52 / $715.52	Professional		$378.26	$421.52	$715.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $321.04 / $446.37 / $787.84	Professional		$321.04	$446.37	$787.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,897.74 / $52,385.00 / $149,069.65	Facility		$1,897.74	$52,385.00	$149,069.65
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $76.34 / $14,129.69 / $14,129.69	Facility	AS	$76.34	$14,129.69	$14,129.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,700.13 / $13,506.61 / $13,506.61	Professional		$3,700.13	$13,506.61	$13,506.61
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 $372.73 / $475.88 / $798.33	Facility		$372.73	$475.88	$798.33
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $137.60 / $137.60 / $137.60	Facility	80	$137.60	$137.60	$137.60
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $38.33 / $38.33 / $116.96	Facility	AS	$38.33	$38.33	$116.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $372.53 / $530.32 / $967.38	Professional		$372.53	$530.32	$967.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,163.38 / $1,163.38 / $1,163.38	Professional		$1,163.38	$1,163.38	$1,163.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $345.02 / $425.11 / $715.52	Professional		$345.02	$425.11	$715.52
United Facility/Professional Facility Modifier Low / Median / High Price $13,611.00 / $21,492.00 / $56,574.00	Facility		$13,611.00	$21,492.00	$56,574.00
United Facility/Professional Professional Modifier Low / Median / High Price $288.17 / $405.46 / $833.21	Professional		$288.17	$405.46	$833.21