Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,310.00 / $16,713.00	Facility		$1,208.95	$5,310.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.70 / $411.75 / $2,203.19	Professional		$353.70	$411.75	$2,203.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,720.00 / $10,404.00	Facility		$1,723.00	$4,720.00	$10,404.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $456.53 / $571.76 / $1,147.45	Professional		$456.53	$571.76	$1,147.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,776.64	Facility		$66.00	$100.00	$5,776.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $311.83 / $452.52 / $1,016.93	Professional		$311.83	$452.52	$1,016.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $3,101.23 / $5,554.45	Facility		$1,487.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $406.55 / $524.89 / $1,153.65	Professional		$406.55	$524.89	$1,153.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $372.30 / $511.80 / $704.25	Professional		$372.30	$511.80	$704.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $415.72 / $573.78 / $1,016.20	Professional		$415.72	$573.78	$1,016.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,999.35 / $8,957.00 / $12,000.00	Facility		$1,999.35	$8,957.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,097.04 / $3,156.64 / $3,686.85	Professional		$3,097.04	$3,156.64	$3,686.85
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 $448.17 / $558.00 / $818.88	Facility		$448.17	$558.00	$818.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $409.58 / $547.34 / $1,116.83	Professional		$409.58	$547.34	$1,116.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,367.05 / $1,367.05 / $1,367.05	Professional		$1,367.05	$1,367.05	$1,367.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $413.22 / $558.45 / $704.25	Professional		$413.22	$558.45	$704.25
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 $325.35 / $424.55 / $920.94	Professional		$325.35	$424.55	$920.94