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 $400.22 / $483.17 / $2,564.15	Professional		$400.22	$483.17	$2,564.15
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 $521.40 / $654.54 / $1,317.02	Professional		$521.40	$654.54	$1,317.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,403.01	Facility		$66.00	$100.00	$5,403.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $362.41 / $525.64 / $1,181.25	Professional		$362.41	$525.64	$1,181.25
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 $466.56 / $605.17 / $1,328.44	Professional		$466.56	$605.17	$1,328.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $231.94 / $351.00 / $818.52	Professional		$231.94	$351.00	$818.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $490.88 / $671.98 / $1,199.92	Professional		$490.88	$671.98	$1,199.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,880.68 / $4,754.80 / $12,000.00	Facility		$1,880.68	$4,754.80	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,644.24 / $3,716.08 / $4,336.95	Professional		$3,644.24	$3,716.08	$4,336.95
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 $503.35 / $634.66 / $879.15	Facility		$503.35	$634.66	$879.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $471.82 / $638.71 / $1,316.70	Professional		$471.82	$638.71	$1,316.70
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,590.99 / $1,590.99 / $1,590.99	Professional		$1,590.99	$1,590.99	$1,590.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $241.22 / $409.50 / $673.17	Professional		$241.22	$409.50	$673.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,048.00 / $4,060.00 / $9,072.00	Facility		$2,048.00	$4,060.00	$9,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $380.21 / $503.35 / $1,097.98	Professional		$380.21	$503.35	$1,097.98