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 $391.75 / $467.48 / $2,488.41	Professional		$391.75	$467.48	$2,488.41
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 $461.47 / $623.46 / $1,282.78	Professional		$461.47	$623.46	$1,282.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,591.57	Facility		$66.00	$100.00	$5,591.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $340.61 / $492.50 / $1,109.95	Professional		$340.61	$492.50	$1,109.95
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 $414.06 / $566.13 / $1,261.29	Professional		$414.06	$566.13	$1,261.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $168.65 / $582.69 / $786.63	Professional		$168.65	$582.69	$786.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $473.07 / $647.29 / $1,156.39	Professional		$473.07	$647.29	$1,156.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,273.55 / $8,957.00	Facility		$2,000.00	$2,273.55	$8,957.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,522.96 / $3,591.28 / $4,192.20	Professional		$3,522.96	$3,591.28	$4,192.20
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 $439.63 / $614.41 / $844.90	Facility		$439.63	$614.41	$844.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $421.22 / $592.16 / $1,259.18	Professional		$421.22	$592.16	$1,259.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,544.01 / $1,544.01 / $1,544.01	Professional		$1,544.01	$1,544.01	$1,544.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $219.25 / $361.56 / $646.89	Professional		$219.25	$361.56	$646.89
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 $367.47 / $488.00 / $1,064.70	Professional		$367.47	$488.00	$1,064.70