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 $395.85 / $455.22 / $1,764.62	Professional		$395.85	$455.22	$1,764.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $518.40 / $654.29 / $1,289.53	Professional		$518.40	$654.29	$1,289.53
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 $398.72 / $569.60 / $1,247.20	Professional		$398.72	$569.60	$1,247.20
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 $460.06 / $611.25 / $1,244.54	Professional		$460.06	$611.25	$1,244.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $545.00 / $735.75	Professional		$337.30	$545.00	$735.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $443.14 / $611.72 / $1,083.24	Professional		$443.14	$611.72	$1,083.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,705.48 / $8,957.00 / $26,542.00	Facility		$1,705.48	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,139.31 / $4,139.31 / $4,139.31	Professional		$4,139.31	$4,139.31	$4,139.31
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 $485.12 / $638.79 / $873.36	Facility		$485.12	$638.79	$873.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $467.63 / $642.29 / $1,208.44	Professional		$467.63	$642.29	$1,208.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,468.87 / $1,468.87 / $1,468.87	Professional		$1,468.87	$1,468.87	$1,468.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $438.49 / $505.96 / $638.04	Professional		$438.49	$505.96	$638.04
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 $357.55 / $475.82 / $1,011.48	Professional		$357.55	$475.82	$1,011.48