Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,640.00 / $17,701.00	Facility		$1,820.00	$6,640.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.29 / $528.92 / $2,837.16	Professional		$454.29	$528.92	$2,837.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,706.00 / $13,707.00	Facility		$2,456.00	$6,706.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $601.32 / $753.11 / $1,513.78	Professional		$601.32	$753.11	$1,513.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,826.58	Facility		$66.00	$100.00	$7,826.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $413.55 / $592.54 / $1,348.77	Professional		$413.55	$592.54	$1,348.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.55 / $742.86 / $2,277.00	Facility		$741.55	$742.86	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.08 / $681.26 / $1,474.08	Professional		$501.08	$681.26	$1,474.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $379.37 / $569.05 / $803.46	Professional		$379.37	$569.05	$803.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $526.75 / $719.54 / $1,287.61	Professional		$526.75	$719.54	$1,287.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,074.76 / $3,776.52 / $26,542.00	Facility		$3,074.76	$3,776.52	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,241.68 / $4,241.68 / $4,719.68	Professional		$4,241.68	$4,241.68	$4,719.68
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 $575.63 / $710.26 / $1,017.61	Facility		$575.63	$710.26	$1,017.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $509.01 / $708.83 / $1,449.69	Professional		$509.01	$708.83	$1,449.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,760.41 / $1,760.41 / $1,760.41	Professional		$1,760.41	$1,760.41	$1,760.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $493.19 / $583.67 / $717.63	Professional		$493.19	$583.67	$717.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,141.16 / $2,679.00 / $7,399.00	Facility		$1,141.16	$2,679.00	$7,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $419.07 / $550.85 / $1,175.11	Professional		$419.07	$550.85	$1,175.11