Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,159.00 / $17,030.00	Facility		$1,919.00	$6,159.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.80 / $498.28 / $2,617.39	Professional		$428.80	$498.28	$2,617.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $583.47 / $747.32 / $1,420.86	Professional		$583.47	$747.32	$1,420.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,170.31	Facility		$66.00	$100.00	$7,170.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $417.61 / $602.10 / $1,329.30	Professional		$417.61	$602.10	$1,329.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $3,101.23 / $5,554.45	Facility		$1,992.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $504.81 / $651.98 / $1,353.14	Professional		$504.81	$651.98	$1,353.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $258.38 / $567.55 / $766.21	Professional		$258.38	$567.55	$766.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $474.80 / $650.25 / $1,163.40	Professional		$474.80	$650.25	$1,163.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,326.96 / $8,957.00 / $16,394.00	Facility		$3,326.96	$8,957.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,617.60 / $3,700.56 / $4,396.35	Professional		$3,617.60	$3,700.56	$4,396.35
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 $527.54 / $648.76 / $888.93	Facility		$527.54	$648.76	$888.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $513.83 / $682.16 / $1,337.42	Professional		$513.83	$682.16	$1,337.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,624.04 / $1,624.04 / $1,624.04	Professional		$1,624.04	$1,624.04	$1,624.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $335.89 / $465.08 / $629.29	Professional		$335.89	$465.08	$629.29
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,352.00 / $14,743.00	Facility		$3,523.00	$7,352.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $409.08 / $540.57 / $1,107.14	Professional		$409.08	$540.57	$1,107.14