Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $739.98 / $5,505.00 / $16,713.00	Facility		$739.98	$5,505.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.77 / $660.07 / $3,104.08	Professional		$517.77	$660.07	$3,104.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,400.00	Facility		$2,137.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $484.52 / $769.49 / $1,637.12	Professional		$484.52	$769.49	$1,637.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,100.20	Facility		$66.00	$100.00	$7,100.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $409.45 / $555.02 / $1,286.64	Professional		$409.45	$555.02	$1,286.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,291.00 / $1,293.28 / $2,312.23	Facility		$1,291.00	$1,293.28	$2,312.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $538.99 / $816.30 / $1,708.65	Professional		$538.99	$816.30	$1,708.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $266.57 / $748.86 / $1,010.96	Professional		$266.57	$748.86	$1,010.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $611.57 / $881.27 / $1,428.32	Professional		$611.57	$881.27	$1,428.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,055.28 / $4,155.96 / $16,394.00	Facility		$4,055.28	$4,155.96	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,268.32 / $5,117.68 / $5,961.68	Professional		$4,268.32	$5,117.68	$5,961.68
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 $557.44 / $851.90 / $1,220.45	Facility		$557.44	$851.90	$1,220.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $554.40 / $882.49 / $1,780.53	Professional		$554.40	$882.49	$1,780.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,926.03 / $1,926.03 / $2,310.71	Professional		$1,926.03	$1,926.03	$2,310.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $298.55 / $605.44 / $1,014.26	Professional		$298.55	$605.44	$1,014.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,152.00 / $4,060.00 / $10,621.00	Facility		$2,152.00	$4,060.00	$10,621.00
United Facility/Professional Professional Modifier Low / Median / High Price $529.20 / $695.34 / $1,596.87	Professional		$529.20	$695.34	$1,596.87