Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,640.00 / $17,701.00	Facility		$1,820.00	$6,640.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.24 / $392.55 / $2,035.72	Professional		$319.24	$392.55	$2,035.72
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 $424.05 / $535.21 / $1,068.59	Professional		$424.05	$535.21	$1,068.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,138.75	Facility		$66.00	$100.00	$8,138.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $287.26 / $410.53 / $935.83	Professional		$287.26	$410.53	$935.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,101.23 / $5,554.45	Facility		$2,277.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.20 / $480.28 / $1,049.20	Professional		$373.20	$480.28	$1,049.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $289.64 / $447.25 / $603.79	Professional		$289.64	$447.25	$603.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.13 / $512.47 / $907.21	Professional		$371.13	$512.47	$907.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,053.61 / $8,957.00 / $26,542.00	Facility		$4,053.61	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,725.46 / $4,725.46 / $4,725.46	Professional		$4,725.46	$4,725.46	$4,725.46
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 $407.40 / $500.14 / $787.46	Facility		$407.40	$500.14	$787.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $375.58 / $503.59 / $1,030.58	Professional		$375.58	$503.59	$1,030.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,263.14 / $1,263.14 / $1,263.14	Professional		$1,263.14	$1,263.14	$1,263.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $360.67 / $434.47 / $547.91	Professional		$360.67	$434.47	$547.91
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,758.00 / $21,278.00	Facility		$4,523.00	$9,758.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $307.26 / $405.00 / $869.46	Professional		$307.26	$405.00	$869.46