Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,537.00 / $17,393.00	Facility		$1,820.00	$6,537.00	$17,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.00 / $508.24 / $1,969.98	Professional		$431.00	$508.24	$1,969.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,978.00 / $13,707.00	Facility		$2,456.00	$6,978.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $572.47 / $750.33 / $1,442.62	Professional		$572.47	$750.33	$1,442.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,826.58	Facility		$66.00	$100.00	$7,826.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $407.02 / $590.71 / $1,327.49	Professional		$407.02	$590.71	$1,327.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,646.28 / $1,649.19 / $2,948.55	Facility		$1,646.28	$1,649.19	$2,948.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $503.19 / $642.35 / $1,412.59	Professional		$503.19	$642.35	$1,412.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $626.16 / $845.32	Professional		$421.82	$626.16	$845.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $509.39 / $696.94 / $1,245.18	Professional		$509.39	$696.94	$1,245.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,962.08 / $4,754.80 / $26,542.00	Facility		$1,962.08	$4,754.80	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,513.13 / $5,205.68 / $5,377.47	Professional		$4,513.13	$5,205.68	$5,377.47
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 $553.91 / $687.41 / $989.89	Facility		$553.91	$687.41	$989.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $507.07 / $679.24 / $1,381.89	Professional		$507.07	$679.24	$1,381.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,682.84 / $1,682.84 / $1,682.84	Professional		$1,682.84	$1,682.84	$1,682.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $505.58 / $632.72 / $797.92	Professional		$505.58	$632.72	$797.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,048.00 / $4,060.00 / $9,131.00	Facility		$2,048.00	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $405.49 / $533.16 / $1,142.83	Professional		$405.49	$533.16	$1,142.83