Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,640.00 / $17,701.00	Facility		$1,820.00	$6,640.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.48 / $556.02 / $2,979.78	Professional		$469.48	$556.02	$2,979.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,944.00 / $13,012.00	Facility		$2,137.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $629.74 / $794.82 / $1,570.34	Professional		$629.74	$794.82	$1,570.34
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,908.14	Facility		$66.00	$100.00	$7,908.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $434.94 / $628.36 / $1,418.71	Professional		$434.94	$628.36	$1,418.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,101.23 / $5,554.45	Facility		$2,277.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $522.66 / $709.79 / $1,500.77	Professional		$522.66	$709.79	$1,500.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $261.35 / $681.96 / $920.65	Professional		$261.35	$681.96	$920.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $557.11 / $761.41 / $1,361.82	Professional		$557.11	$761.41	$1,361.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,159.48 / $8,957.00 / $26,542.00	Facility		$2,159.48	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,174.47 / $4,253.04 / $4,975.13	Professional		$4,174.47	$4,253.04	$4,975.13
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 $517.92 / $732.25 / $1,017.83	Facility		$517.92	$732.25	$1,017.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $550.35 / $752.77 / $1,500.77	Professional		$550.35	$752.77	$1,500.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,848.91 / $1,848.91 / $1,848.91	Professional		$1,848.91	$1,848.91	$1,848.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $339.76 / $550.50 / $756.94	Professional		$339.76	$550.50	$756.94
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,352.00 / $14,743.00	Facility		$3,523.00	$7,352.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $441.45 / $584.54 / $1,262.29	Professional		$441.45	$584.54	$1,262.29