Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,587.51 / $6,640.00 / $17,701.00	Facility		$1,587.51	$6,640.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.48 / $469.18 / $2,184.38	Professional		$376.48	$469.18	$2,184.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.54 / $626.80 / $1,221.45	Professional		$489.54	$626.80	$1,221.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,908.14	Facility		$66.00	$100.00	$7,908.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $269.05 / $386.01 / $910.27	Professional		$269.05	$386.01	$910.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,101.23 / $5,554.45	Facility		$2,277.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $406.15 / $607.08 / $1,369.63	Professional		$406.15	$607.08	$1,369.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $619.95 / $836.93	Professional		$337.30	$619.95	$836.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.79 / $696.53 / $1,351.49	Professional		$512.79	$696.53	$1,351.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,061.44 / $8,957.00 / $26,542.00	Facility		$3,061.44	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,783.52 / $3,855.60 / $4,809.38	Professional		$3,783.52	$3,855.60	$4,809.38
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 $522.74 / $683.74 / $898.93	Facility		$522.74	$683.74	$898.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $406.15 / $632.44 / $1,386.42	Professional		$406.15	$632.44	$1,386.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,655.83 / $1,655.83 / $1,655.83	Professional		$1,655.83	$1,655.83	$1,655.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $438.49 / $562.11 / $687.03	Professional		$438.49	$562.11	$687.03
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 $362.76 / $495.00 / $1,136.08	Professional		$362.76	$495.00	$1,136.08