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 $370.35 / $433.97 / $2,703.04	Professional		$370.35	$433.97	$2,703.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,978.00 / $13,707.00	Facility		$2,456.00	$6,978.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $525.21 / $674.35 / $1,323.53	Professional		$525.21	$674.35	$1,323.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,402.41	Facility		$66.00	$100.00	$5,402.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $371.82 / $541.98 / $1,218.47	Professional		$371.82	$541.98	$1,218.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,646.28 / $1,649.19 / $2,948.55	Facility		$1,646.28	$1,649.19	$2,948.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.56 / $611.90 / $1,374.12	Professional		$447.56	$611.90	$1,374.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $193.97 / $629.26 / $849.50	Professional		$193.97	$629.26	$849.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $511.97 / $700.24 / $1,251.49	Professional		$511.97	$700.24	$1,251.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $3,454.64 / $4,754.80	Facility		$2,000.00	$3,454.64	$4,754.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,820.64 / $3,888.88 / $4,549.58	Professional		$3,820.64	$3,888.88	$4,549.58
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 $473.95 / $661.69 / $912.43	Facility		$473.95	$661.69	$912.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $464.15 / $642.99 / $1,369.27	Professional		$464.15	$642.99	$1,369.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,677.19 / $1,677.19 / $1,677.19	Professional		$1,677.19	$1,677.19	$1,677.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $252.16 / $415.84 / $698.54	Professional		$252.16	$415.84	$698.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,190.00 / $7,352.00 / $14,743.00	Facility		$3,190.00	$7,352.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $384.71 / $504.99 / $1,127.40	Professional		$384.71	$504.99	$1,127.40