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 $398.37 / $463.22 / $2,433.53	Professional		$398.37	$463.22	$2,433.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,597.00 / $9,381.00	Facility		$1,723.00	$4,597.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $570.58 / $721.21 / $1,347.38	Professional		$570.58	$721.21	$1,347.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,121.41	Facility		$66.00	$100.00	$7,121.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $332.01 / $485.62 / $1,083.71	Professional		$332.01	$485.62	$1,083.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,360.35 / $4,227.49	Facility		$2,277.00	$2,360.35	$4,227.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.41 / $606.16 / $1,331.55	Professional		$467.41	$606.16	$1,331.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $393.89 / $570.04 / $1,685.12	Professional		$393.89	$570.04	$1,685.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $465.18 / $638.07 / $1,137.10	Professional		$465.18	$638.07	$1,137.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,701.20 / $6,817.20	Facility		$55.00	$2,701.20	$6,817.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,480.96 / $3,539.20 / $4,150.13	Professional		$3,480.96	$3,539.20	$4,150.13
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 $495.05 / $620.24 / $852.84	Facility		$495.05	$620.24	$852.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $467.57 / $635.02 / $1,265.99	Professional		$467.57	$635.02	$1,265.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,509.96 / $1,509.96 / $1,509.96	Professional		$1,509.96	$1,509.96	$1,509.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $460.17 / $517.69 / $669.62	Professional		$460.17	$517.69	$669.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,410.00 / $2,699.00 / $7,655.00	Facility		$1,410.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $364.26 / $494.69 / $1,028.83	Professional		$364.26	$494.69	$1,028.83