Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,146.75 / $5,505.00 / $16,713.00	Facility		$1,146.75	$5,505.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.36 / $545.41 / $2,335.00	Professional		$463.36	$545.41	$2,335.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,400.00	Facility		$2,137.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $565.25 / $772.59 / $1,538.18	Professional		$565.25	$772.59	$1,538.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,919.63	Facility		$66.00	$100.00	$6,919.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $434.82 / $631.54 / $1,419.30	Professional		$434.82	$631.54	$1,419.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,646.28 / $1,649.19 / $2,948.55	Facility		$1,646.28	$1,649.19	$2,948.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $539.71 / $696.11 / $1,517.00	Professional		$539.71	$696.11	$1,517.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $228.96 / $714.51 / $964.59	Professional		$228.96	$714.51	$964.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $581.19 / $794.95 / $1,420.69	Professional		$581.19	$794.95	$1,420.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,240.19 / $4,754.80 / $16,394.00	Facility		$2,240.19	$4,754.80	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,336.08 / $4,417.04 / $5,163.08	Professional		$4,336.08	$4,417.04	$5,163.08
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 $541.04 / $751.15 / $1,036.56	Facility		$541.04	$751.15	$1,036.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $546.25 / $735.69 / $1,515.77	Professional		$546.25	$735.69	$1,515.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,808.81 / $1,808.81 / $1,808.81	Professional		$1,808.81	$1,808.81	$1,808.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $297.64 / $490.86 / $793.19	Professional		$297.64	$490.86	$793.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,048.00 / $4,060.00 / $9,072.00	Facility		$2,048.00	$4,060.00	$9,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $440.16 / $575.64 / $1,236.58	Professional		$440.16	$575.64	$1,236.58