Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,648.00 / $18,681.00	Facility		$1,992.00	$7,648.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $445.47 / $542.63 / $2,907.47	Professional		$445.47	$542.63	$2,907.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $8,484.00 / $17,774.00	Facility		$2,776.00	$8,484.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $581.61 / $734.07 / $1,465.66	Professional		$581.61	$734.07	$1,465.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,677.87	Facility		$66.00	$100.00	$9,677.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $399.21 / $573.03 / $1,304.34	Professional		$399.21	$573.03	$1,304.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $3,101.23 / $5,554.45	Facility		$2,813.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $514.98 / $683.21 / $1,463.48	Professional		$514.98	$683.21	$1,463.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $253.91 / $664.63 / $897.25	Professional		$253.91	$664.63	$897.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $543.04 / $742.16 / $1,386.00	Professional		$543.04	$742.16	$1,386.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,158.40 / $8,957.00 / $26,542.00	Facility		$3,158.40	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,851.53 / $9,877.00 / $9,877.00	Professional		$4,851.53	$9,877.00	$9,877.00
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 $571.03 / $713.77 / $972.43	Facility		$571.03	$713.77	$972.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $524.16 / $728.76 / $1,462.95	Professional		$524.16	$728.76	$1,462.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,804.04 / $1,804.04 / $1,804.04	Professional		$1,804.04	$1,804.04	$1,804.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $330.08 / $536.51 / $737.70	Professional		$330.08	$536.51	$737.70
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $430.92 / $558.60 / $1,242.20	Professional		$430.92	$558.60	$1,242.20