Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,159.00 / $17,030.00	Facility		$1,919.00	$6,159.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.43 / $557.29 / $2,983.62	Professional		$474.43	$557.29	$2,983.62
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 $586.87 / $779.14 / $1,551.61	Professional		$586.87	$779.14	$1,551.61
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 $432.89 / $628.74 / $1,412.95	Professional		$432.89	$628.74	$1,412.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $3,101.23 / $5,554.45	Facility		$1,992.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.58 / $719.66 / $1,547.75	Professional		$553.58	$719.66	$1,547.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $267.31 / $682.77 / $921.74	Professional		$267.31	$682.77	$921.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $557.76 / $762.30 / $1,363.41	Professional		$557.76	$762.30	$1,363.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,242.88 / $8,957.00 / $16,394.00	Facility		$3,242.88	$8,957.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,332.49 / $4,332.49 / $4,980.53	Professional		$4,332.49	$4,332.49	$4,980.53
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 $600.72 / $751.48 / $1,033.38	Facility		$600.72	$751.48	$1,033.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $564.69 / $759.10 / $1,529.25	Professional		$564.69	$759.10	$1,529.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,851.26 / $1,851.26 / $1,851.26	Professional		$1,851.26	$1,851.26	$1,851.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $347.50 / $551.16 / $757.85	Professional		$347.50	$551.16	$757.85
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,713.00 / $21,278.00	Facility		$4,331.00	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $441.99 / $572.00 / $1,229.36	Professional		$441.99	$572.00	$1,229.36