Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $546.00 / $4,702.00 / $16,125.00	Facility		$546.00	$4,702.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $451.35 / $552.59 / $2,849.46	Professional		$451.35	$552.59	$2,849.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,597.00 / $9,381.00	Facility		$1,787.00	$4,597.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $580.14 / $742.89 / $1,461.95	Professional		$580.14	$742.89	$1,461.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,367.09	Facility		$66.00	$100.00	$5,367.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $432.99 / $613.07 / $1,400.99	Professional		$432.99	$613.07	$1,400.99
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 $523.62 / $680.76 / $1,444.60	Professional		$523.62	$680.76	$1,444.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $323.89 / $716.68 / $967.52	Professional		$323.89	$716.68	$967.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $561.11 / $749.35 / $1,327.79	Professional		$561.11	$749.35	$1,327.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,617.28 / $2,866.82 / $12,000.00	Facility		$2,617.28	$2,866.82	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,040.40 / $4,366.64 / $5,105.85	Professional		$4,040.40	$4,366.64	$5,105.85
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 $544.60 / $731.12 / $981.72	Facility		$544.60	$731.12	$981.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $533.63 / $726.57 / $1,483.21	Professional		$533.63	$726.57	$1,483.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,768.04 / $1,768.04 / $1,877.44	Professional		$1,768.04	$1,768.04	$1,877.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $453.46 / $608.03 / $795.74	Professional		$453.46	$608.03	$795.74
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,533.00 / $6,323.00	Facility		$587.00	$1,533.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $446.07 / $584.57 / $1,272.75	Professional		$446.07	$584.57	$1,272.75