Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $6,880.00 / $17,538.00	Facility		$2,197.85	$6,880.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.89 / $456.77 / $1,907.34	Professional		$385.89	$456.77	$1,907.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $509.01 / $667.14 / $1,282.70	Professional		$509.01	$667.14	$1,282.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,908.14	Facility		$66.00	$100.00	$7,908.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $357.04 / $517.29 / $1,162.51	Professional		$357.04	$517.29	$1,162.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,101.23 / $5,554.45	Facility		$2,277.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.50 / $577.54 / $1,269.50	Professional		$449.50	$577.54	$1,269.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $572.22 / $797.91	Professional		$421.82	$572.22	$797.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $464.49 / $638.07 / $1,135.42	Professional		$464.49	$638.07	$1,135.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,785.88 / $8,957.00 / $26,542.00	Facility		$1,785.88	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,367.00 / $4,709.89 / $4,865.33	Professional		$4,367.00	$4,709.89	$4,865.33
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 $500.93 / $621.79 / $901.60	Facility		$500.93	$621.79	$901.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $454.00 / $611.16 / $1,260.13	Professional		$454.00	$611.16	$1,260.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,522.38 / $1,522.38 / $1,522.38	Professional		$1,522.38	$1,522.38	$1,522.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $462.00 / $632.72 / $797.92	Professional		$462.00	$632.72	$797.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,060.00 / $9,131.00	Facility		$2,090.00	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $367.26 / $474.59 / $1,037.35	Professional		$367.26	$474.59	$1,037.35