Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $5,002.00 / $16,573.00	Facility		$344.00	$5,002.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.80 / $238.63 / $3,740.57	Professional		$147.80	$238.63	$3,740.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,988.00 / $4,734.00 / $13,707.00	Facility		$1,988.00	$4,734.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.05 / $220.58 / $1,003.39	Professional		$147.05	$220.58	$1,003.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,395.80	Facility		$66.00	$100.00	$6,395.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $152.33 / $217.61 / $547.04	Professional		$152.33	$217.61	$547.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17,852.34 / $17,883.95 / $31,974.37	Facility		$17,852.34	$17,883.95	$31,974.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.76 / $312.95 / $4,374.39	Professional		$172.76	$312.95	$4,374.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $142.22 / $537.08 / $6,727.94	Professional		$142.22	$537.08	$6,727.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $455.56 / $1,376.00 / $7,351.98	Professional		$455.56	$1,376.00	$7,351.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,273.96 / $6,896.58 / $12,000.00	Facility		$6,273.96	$6,896.58	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,003.90 / $26,497.28 / $31,753.28	Professional		$14,003.90	$26,497.28	$31,753.28
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 $192.00 / $553.84 / $5,952.67	Facility		$192.00	$553.84	$5,952.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $176.37 / $406.29 / $5,222.25	Professional		$176.37	$406.29	$5,222.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,156.27 / $1,156.27 / $6,831.62	Professional		$1,156.27	$1,156.27	$6,831.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $199.11 / $442.13 / $5,541.10	Professional		$199.11	$442.13	$5,541.10
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $14,463.00 / $35,978.00	Facility		$7,696.00	$14,463.00	$35,978.00
United Facility/Professional Professional Modifier Low / Median / High Price $190.07 / $1,724.99 / $4,762.74	Professional		$190.07	$1,724.99	$4,762.74