Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,880.00 / $20,413.03	Facility		$1,820.00	$6,880.00	$20,413.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.23 / $579.19 / $1,815.66	Professional		$351.23	$579.19	$1,815.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.60 / $804.90 / $1,310.48	Professional		$398.60	$804.90	$1,310.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,826.58	Facility		$66.00	$100.00	$7,826.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $469.36 / $677.29 / $1,295.18	Professional		$469.36	$677.29	$1,295.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,360.35 / $4,227.49	Facility		$2,277.00	$2,360.35	$4,227.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.92 / $660.79 / $1,150.95	Professional		$397.92	$660.79	$1,150.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $210.72 / $376.10 / $507.74	Professional		$210.72	$376.10	$507.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.11 / $435.19 / $807.00	Professional		$316.11	$435.19	$807.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,896.96 / $6,817.20 / $26,542.00	Facility		$1,896.96	$6,817.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,100.72 / $3,327.23 / $3,437.03	Professional		$3,100.72	$3,327.23	$3,437.03
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 $378.00 / $456.60 / $830.55	Facility		$378.00	$456.60	$830.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $402.85 / $669.77 / $1,019.45	Professional		$402.85	$669.77	$1,019.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,126.58 / $1,126.58 / $1,126.58	Professional		$1,126.58	$1,126.58	$1,126.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $273.94 / $342.59 / $417.25	Professional		$273.94	$342.59	$417.25
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 $279.83 / $507.48 / $863.55	Professional		$279.83	$507.48	$863.55