Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.00 / $5,990.00 / $17,030.00	Facility		$1,539.00	$5,990.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.45 / $479.74 / $2,765.19	Professional		$394.45	$479.74	$2,765.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,464.00 / $8,976.00	Facility		$1,759.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.80 / $647.58 / $1,302.98	Professional		$501.80	$647.58	$1,302.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,919.63	Facility		$66.00	$100.00	$6,919.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $349.13 / $504.68 / $1,142.81	Professional		$349.13	$504.68	$1,142.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.20 / $253.65 / $1,992.00	Facility		$253.20	$253.65	$1,992.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.39 / $612.15 / $1,414.38	Professional		$453.39	$612.15	$1,414.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $253.16 / $379.74 / $815.76	Professional		$253.16	$379.74	$815.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $528.91 / $723.89 / $1,292.92	Professional		$528.91	$723.89	$1,292.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,029.48 / $2,791.53 / $16,394.00	Facility		$2,029.48	$2,791.53	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,929.60 / $3,999.76 / $4,680.97	Professional		$3,929.60	$3,999.76	$4,680.97
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 $523.35 / $680.00 / $930.12	Facility		$523.35	$680.00	$930.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $466.55 / $651.13 / $1,404.30	Professional		$466.55	$651.13	$1,404.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,715.76 / $1,715.76 / $1,715.76	Professional		$1,715.76	$1,715.76	$1,715.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $329.11 / $526.94 / $724.54	Professional		$329.11	$526.94	$724.54
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,523.00 / $5,830.00	Facility		$548.00	$1,523.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $391.79 / $513.74 / $1,138.94	Professional		$391.79	$513.74	$1,138.94