Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,310.00 / $16,713.00	Facility		$1,208.95	$5,310.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.08 / $416.79 / $2,153.44	Professional		$338.08	$416.79	$2,153.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $8,484.00 / $16,676.00	Facility		$2,675.00	$8,484.00	$16,676.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $409.00 / $595.41 / $1,173.07	Professional		$409.00	$595.41	$1,173.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,864.13	Facility		$66.00	$100.00	$5,864.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $292.56 / $425.98 / $957.28	Professional		$292.56	$425.98	$957.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $2,738.49 / $4,904.76	Facility		$1,487.00	$2,738.49	$4,904.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.27 / $524.41 / $1,162.76	Professional		$390.27	$524.41	$1,162.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $322.41 / $493.49 / $666.21	Professional		$322.41	$493.49	$666.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $397.66 / $545.45 / $972.05	Professional		$397.66	$545.45	$972.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,263.62 / $7,909.30 / $12,000.00	Facility		$2,263.62	$7,909.30	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,589.56 / $6,589.56 / $6,589.56	Professional		$6,589.56	$6,589.56	$6,589.56
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 $420.83 / $535.17 / $838.42	Facility		$420.83	$535.17	$838.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $399.85 / $546.38 / $1,092.44	Professional		$399.85	$546.38	$1,092.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,336.16 / $1,336.16 / $1,336.16	Professional		$1,336.16	$1,336.16	$1,336.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $398.67 / $483.62 / $609.88	Professional		$398.67	$483.62	$609.88
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $323.18 / $423.77 / $920.14	Professional		$323.18	$423.77	$920.14