Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,619.88 / $7,206.00 / $18,315.16	Facility		$2,619.88	$7,206.00	$18,315.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.72 / $463.23 / $2,325.96	Professional		$382.72	$463.23	$2,325.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,222.00 / $9,031.00 / $22,085.00	Facility		$3,222.00	$9,031.00	$22,085.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $468.16 / $658.39 / $1,265.60	Professional		$468.16	$658.39	$1,265.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,485.17	Facility		$64.40	$100.00	$5,485.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $372.23 / $540.77 / $1,184.86	Professional		$372.23	$540.77	$1,184.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $451.37 / $578.13 / $1,199.45	Professional		$451.37	$578.13	$1,199.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $436.71 / $516.39 / $697.13	Professional		$436.71	$516.39	$697.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $427.86 / $591.47 / $1,045.88	Professional		$427.86	$591.47	$1,045.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,961.98 / $3,697.19	Facility		$2,000.00	$2,961.98	$3,697.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,231.44 / $3,309.60 / $3,915.38	Professional		$3,231.44	$3,309.60	$3,915.38
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 $452.59 / $575.79 / $784.41	Facility		$452.59	$575.79	$784.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $460.05 / $610.15 / $1,194.84	Professional		$460.05	$610.15	$1,194.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,443.20 / $1,443.20 / $1,443.20	Professional		$1,443.20	$1,443.20	$1,443.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $436.71 / $572.75 / $826.09	Professional		$436.71	$572.75	$826.09
United Facility/Professional Facility Modifier Low / Median / High Price $6,142.00 / $12,377.00 / $26,451.00	Facility		$6,142.00	$12,377.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $348.84 / $488.32 / $986.19	Professional		$348.84	$488.32	$986.19