Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $9,029.00 / $19,772.09	Facility		$2,421.00	$9,029.00	$19,772.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $509.95 / $569.32 / $2,718.43	Professional		$509.95	$569.32	$2,718.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,140.00 / $11,055.00 / $23,931.00	Facility		$4,140.00	$11,055.00	$23,931.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $684.24 / $878.71 / $1,590.05	Professional		$684.24	$878.71	$1,590.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $7,100.20	Facility		$64.40	$100.00	$7,100.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $501.22 / $716.03 / $1,513.72	Professional		$501.22	$716.03	$1,513.72
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 $558.33 / $730.03 / $1,433.62	Professional		$558.33	$730.03	$1,433.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $581.85 / $758.94	Professional		$505.96	$581.85	$758.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $473.33 / $651.60 / $1,192.84	Professional		$473.33	$651.60	$1,192.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,150.43 / $4,253.41	Facility		$55.00	$4,150.43	$4,253.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,626.96 / $5,626.96 / $5,626.96	Professional		$5,626.96	$5,626.96	$5,626.96
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 $550.89 / $688.61 / $1,126.58	Facility		$550.89	$688.61	$1,126.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $561.01 / $747.49 / $1,419.63	Professional		$561.01	$747.49	$1,419.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,686.74 / $1,686.74 / $1,686.74	Professional		$1,686.74	$1,686.74	$1,686.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $495.80 / $605.98 / $957.08	Professional		$495.80	$605.98	$957.08
United Facility/Professional Facility Modifier Low / Median / High Price $6,366.00 / $13,555.00 / $29,312.00	Facility		$6,366.00	$13,555.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $435.12 / $617.61 / $1,261.89	Professional		$435.12	$617.61	$1,261.89