Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.22 / $5,310.00 / $17,013.00	Facility		$1,256.22	$5,310.00	$17,013.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.76 / $348.50 / $1,422.00	Professional		$294.76	$348.50	$1,422.00
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 $444.09 / $555.14 / $1,047.77	Professional		$444.09	$555.14	$1,047.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,487.90	Facility		$66.00	$100.00	$5,487.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $250.35 / $360.40 / $821.72	Professional		$250.35	$360.40	$821.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $1,816.42 / $3,253.30	Facility		$1,487.00	$1,816.42	$3,253.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.63 / $447.54 / $987.14	Professional		$324.63	$447.54	$987.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $437.94 / $481.73 / $1,296.80	Professional		$437.94	$481.73	$1,296.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $359.24 / $498.90 / $954.71	Professional		$359.24	$498.90	$954.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,751.45 / $5,246.20 / $12,000.00	Facility		$1,751.45	$5,246.20	$12,000.00
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $530.13 / $3,107.91 / $3,107.91	Facility	62	$530.13	$3,107.91	$3,107.91
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $84.82 / $497.27 / $497.27	Facility	AS	$84.82	$497.27	$497.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,131.06 / $4,131.06 / $4,131.06	Professional		$4,131.06	$4,131.06	$4,131.06
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 $376.31 / $478.98 / $714.62	Facility		$376.31	$478.98	$714.62
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $263.31 / $263.31 / $537.01	Facility	62	$263.31	$263.31	$537.01
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $137.47 / $137.47 / $137.47	Facility	80	$137.47	$137.47	$137.47
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $42.13 / $42.13 / $116.85	Facility	AS	$42.13	$42.13	$116.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $324.63 / $468.59 / $961.39	Professional		$324.63	$468.59	$961.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,172.83 / $1,172.83 / $1,172.83	Professional		$1,172.83	$1,172.83	$1,172.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $353.44 / $397.62 / $485.98	Professional		$353.44	$397.62	$485.98
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $279.45 / $367.70 / $800.66	Professional		$279.45	$367.70	$800.66