Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,852.41 / $6,159.00 / $17,030.00	Facility		$1,852.41	$6,159.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.69 / $364.32 / $1,852.41	Professional		$295.69	$364.32	$1,852.41
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 $316.33 / $499.63 / $1,009.80	Professional		$316.33	$499.63	$1,009.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,854.54	Facility		$66.00	$100.00	$6,854.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $325.17 / $464.53 / $1,017.13	Professional		$325.17	$464.53	$1,017.13
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 $376.74 / $527.66 / $1,043.10	Professional		$376.74	$527.66	$1,043.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $409.90 / $491.88 / $775.38	Professional		$409.90	$491.88	$775.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $367.07 / $505.67 / $897.29	Professional		$367.07	$505.67	$897.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,406.24 / $4,754.80 / $16,394.00	Facility		$1,406.24	$4,754.80	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,237.25 / $3,243.53 / $3,344.07	Professional		$3,237.25	$3,243.53	$3,344.07
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 $379.63 / $493.52 / $726.64	Facility		$379.63	$493.52	$726.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $382.75 / $552.14 / $985.31	Professional		$382.75	$552.14	$985.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,149.38 / $1,149.38 / $1,149.38	Professional		$1,149.38	$1,149.38	$1,149.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $397.29 / $503.45 / $775.38	Professional		$397.29	$503.45	$775.38
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $282.52 / $393.38 / $871.58	Professional		$282.52	$393.38	$871.58