Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $5,990.00 / $17,030.00	Facility		$1,919.00	$5,990.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.78 / $426.67 / $2,182.19	Professional		$364.78	$426.67	$2,182.19
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 $423.04 / $601.65 / $1,188.73	Professional		$423.04	$601.65	$1,188.73
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 $379.04 / $541.49 / $1,185.65	Professional		$379.04	$541.49	$1,185.65
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 $432.13 / $594.37 / $1,171.86	Professional		$432.13	$594.37	$1,171.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $465.75 / $551.35 / $881.01	Professional		$465.75	$551.35	$881.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $409.06 / $566.14 / $999.92	Professional		$409.06	$566.14	$999.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,583.36 / $4,754.80 / $16,394.00	Facility		$1,583.36	$4,754.80	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,560.42 / $3,647.33 / $3,677.92	Professional		$3,560.42	$3,647.33	$3,677.92
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 $444.20 / $564.98 / $813.47	Facility		$444.20	$564.98	$813.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $435.49 / $623.58 / $1,127.61	Professional		$435.49	$623.58	$1,127.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,354.01 / $1,354.01 / $1,354.01	Professional		$1,354.01	$1,354.01	$1,354.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $442.66 / $556.36 / $881.02	Professional		$442.66	$556.36	$881.02
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 $332.63 / $454.51 / $989.90	Professional		$332.63	$454.51	$989.90