Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,494.00 / $18,293.00	Facility		$1,992.00	$7,494.00	$18,293.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.20 / $484.76 / $2,328.19	Professional		$409.20	$484.76	$2,328.19
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 $454.00 / $652.69 / $1,274.43	Professional		$454.00	$652.69	$1,274.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,416.95	Facility		$66.00	$100.00	$9,416.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $397.26 / $574.64 / $1,255.48	Professional		$397.26	$574.64	$1,255.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,738.49 / $2,743.34 / $4,904.76	Facility		$2,738.49	$2,743.34	$4,904.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.50 / $599.13 / $1,311.50	Professional		$438.50	$599.13	$1,311.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $168.65 / $552.32 / $745.63	Professional		$168.65	$552.32	$745.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $439.17 / $597.84 / $1,073.53	Professional		$439.17	$597.84	$1,073.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,457.60 / $7,909.30 / $26,542.00	Facility		$2,457.60	$7,909.30	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,218.40 / $3,319.36 / $3,765.00	Professional		$3,218.40	$3,319.36	$3,765.00
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 $423.21 / $583.51 / $809.00	Facility		$423.21	$583.51	$809.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $432.13 / $621.86 / $1,245.61	Professional		$432.13	$621.86	$1,245.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,444.60 / $1,444.60 / $1,444.60	Professional		$1,444.60	$1,444.60	$1,444.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $219.25 / $361.56 / $613.72	Professional		$219.25	$361.56	$613.72
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 $348.60 / $481.51 / $1,090.14	Professional		$348.60	$481.51	$1,090.14