Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,169.00 / $5,206.00 / $16,713.00	Facility		$1,169.00	$5,206.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.76 / $419.33 / $2,188.01	Professional		$344.76	$419.33	$2,188.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $397.48 / $564.14 / $1,117.21	Professional		$397.48	$564.14	$1,117.21
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 $307.32 / $446.91 / $1,004.68	Professional		$307.32	$446.91	$1,004.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.20 / $253.65 / $1,487.00	Facility		$253.20	$253.65	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.76 / $520.66 / $1,141.51	Professional		$396.76	$520.66	$1,141.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $167.91 / $211.74 / $672.60	Professional		$167.91	$211.74	$672.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $452.27 / $621.88 / $1,052.41	Professional		$452.27	$621.88	$1,052.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,725.52 / $2,386.96 / $12,000.00	Facility		$1,725.52	$2,386.96	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,343.36 / $3,402.64 / $3,983.25	Professional		$3,343.36	$3,402.64	$3,983.25
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 $441.00 / $574.04 / $791.54	Facility		$441.00	$574.04	$791.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $401.38 / $542.10 / $1,159.67	Professional		$401.38	$542.10	$1,159.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,357.61 / $1,357.61 / $1,357.61	Professional		$1,357.61	$1,357.61	$1,357.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $174.62 / $296.44 / $622.35	Professional		$174.62	$296.44	$622.35
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,533.00 / $6,323.00	Facility		$548.00	$1,533.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $325.92 / $417.90 / $916.27	Professional		$325.92	$417.90	$916.27