Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,648.00 / $18,309.00	Facility		$1,992.00	$7,648.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.62 / $541.34 / $2,691.44	Professional		$442.62	$541.34	$2,691.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $8,592.00 / $17,774.00	Facility		$2,776.00	$8,592.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $607.70 / $761.10 / $1,458.65	Professional		$607.70	$761.10	$1,458.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,553.14	Facility		$66.00	$100.00	$5,553.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $400.84 / $583.64 / $1,311.59	Professional		$400.84	$583.64	$1,311.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,445.00 / $5,729.24 / $10,261.32	Facility		$4,445.00	$5,729.24	$10,261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $511.68 / $663.93 / $1,454.97	Professional		$511.68	$663.93	$1,454.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $295.23 / $623.27 / $841.41	Professional		$295.23	$623.27	$841.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $508.03 / $695.64 / $1,241.85	Professional		$508.03	$695.64	$1,241.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,933.52 / $16,547.20	Facility		$2,000.00	$2,933.52	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,864.16 / $4,864.16 / $4,864.16	Professional		$4,864.16	$4,864.16	$4,864.16
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 $550.70 / $713.36 / $1,164.16	Facility		$550.70	$713.36	$1,164.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $514.53 / $693.78 / $1,389.98	Professional		$514.53	$693.78	$1,389.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,669.99 / $1,669.99 / $1,669.99	Professional		$1,669.99	$1,669.99	$1,669.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $383.80 / $531.41 / $692.15	Professional		$383.80	$531.41	$692.15
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 $409.92 / $541.67 / $1,144.16	Professional		$409.92	$541.67	$1,144.16