Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,821.04 / $6,159.00 / $17,030.00	Facility		$1,821.04	$6,159.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.40 / $391.85 / $1,821.04	Professional		$347.40	$391.85	$1,821.04
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 $467.93 / $608.63 / $1,137.06	Professional		$467.93	$608.63	$1,137.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,230.50	Facility		$66.00	$100.00	$7,230.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $337.58 / $485.68 / $1,015.82	Professional		$337.58	$485.68	$1,015.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $6,894.76 / $12,348.83	Facility		$1,992.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.54 / $494.77 / $981.31	Professional		$376.54	$494.77	$981.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $373.04 / $421.82 / $797.91	Professional		$373.04	$421.82	$797.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $320.08 / $441.96 / $813.23	Professional		$320.08	$441.96	$813.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,981.44 / $16,394.00 / $19,913.50	Facility		$1,981.44	$16,394.00	$19,913.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,674.28 / $4,674.28 / $4,674.28	Professional		$4,674.28	$4,674.28	$4,674.28
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 $384.22 / $469.60 / $823.65	Facility		$384.22	$469.60	$823.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $377.28 / $513.26 / $947.92	Professional		$377.28	$513.26	$947.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,129.90 / $1,129.90 / $1,129.90	Professional		$1,129.90	$1,129.90	$1,129.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $338.11 / $421.82 / $797.92	Professional		$338.11	$421.82	$797.92
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,402.00 / $15,471.00	Facility		$3,610.00	$7,402.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $290.08 / $412.65 / $801.48	Professional		$290.08	$412.65	$801.48