Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $5,980.00 / $17,030.00	Facility		$1,486.00	$5,980.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.76 / $451.11 / $1,902.68	Professional		$358.76	$451.11	$1,902.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,400.00	Facility		$2,137.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $491.52 / $637.67 / $1,238.63	Professional		$491.52	$637.67	$1,238.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,848.26	Facility		$66.00	$100.00	$6,848.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $347.09 / $503.46 / $1,131.41	Professional		$347.09	$503.46	$1,131.41
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 $431.21 / $552.75 / $1,225.95	Professional		$431.21	$552.75	$1,225.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $285.93 / $550.77 / $743.54	Professional		$285.93	$550.77	$743.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $445.79 / $613.74 / $1,089.70	Professional		$445.79	$613.74	$1,089.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,705.60 / $4,754.80 / $16,394.00	Facility		$1,705.60	$4,754.80	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,924.90 / $4,370.21 / $4,514.43	Professional		$3,924.90	$4,370.21	$4,514.43
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 $482.81 / $594.38 / $848.20	Facility		$482.81	$594.38	$848.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $437.51 / $585.29 / $1,198.59	Professional		$437.51	$585.29	$1,198.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,458.00 / $1,458.00 / $1,458.00	Professional		$1,458.00	$1,458.00	$1,458.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $371.70 / $500.38 / $611.58	Professional		$371.70	$500.38	$611.58
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 $346.16 / $452.55 / $995.59	Professional		$346.16	$452.55	$995.59