Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,310.00 / $16,713.00	Facility		$1,208.95	$5,310.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.75 / $532.09 / $2,796.32	Professional		$450.75	$532.09	$2,796.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,597.00 / $9,381.00	Facility		$1,723.00	$4,597.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $567.45 / $741.10 / $1,470.53	Professional		$567.45	$741.10	$1,470.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,509.60	Facility		$66.00	$100.00	$5,509.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $417.42 / $606.12 / $1,362.12	Professional		$417.42	$606.12	$1,362.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $1,646.28 / $2,948.55	Facility		$1,487.00	$1,646.28	$2,948.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.02 / $662.10 / $1,454.04	Professional		$510.02	$662.10	$1,454.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $295.23 / $641.99 / $866.69	Professional		$295.23	$641.99	$866.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $523.87 / $716.13 / $1,280.58	Professional		$523.87	$716.13	$1,280.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,027.80 / $4,754.80 / $12,000.00	Facility		$2,027.80	$4,754.80	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,920.96 / $3,995.68 / $4,672.35	Professional		$3,920.96	$3,995.68	$4,672.35
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 $519.83 / $692.71 / $1,021.66	Facility		$519.83	$692.71	$1,021.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $526.30 / $696.53 / $1,434.90	Professional		$526.30	$696.53	$1,434.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,735.06 / $1,735.06 / $1,735.06	Professional		$1,735.06	$1,735.06	$1,735.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $383.80 / $531.41 / $712.60	Professional		$383.80	$531.41	$712.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,213.00 / $9,131.00	Facility		$2,090.00	$4,213.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $418.87 / $551.88 / $1,194.92	Professional		$418.87	$551.88	$1,194.92