Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $5,990.00 / $17,030.00	Facility		$1,919.00	$5,990.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.50 / $485.61 / $2,188.00	Professional		$402.50	$485.61	$2,188.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $521.40 / $665.61 / $1,328.21	Professional		$521.40	$665.61	$1,328.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,172.80	Facility		$66.00	$100.00	$7,172.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $408.06 / $584.51 / $1,300.72	Professional		$408.06	$584.51	$1,300.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $3,101.23 / $5,554.45	Facility		$1,992.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $483.29 / $620.77 / $1,324.79	Professional		$483.29	$620.77	$1,324.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $253.16 / $599.54 / $809.38	Professional		$253.16	$599.54	$809.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $483.10 / $662.03 / $1,197.00	Professional		$483.10	$662.03	$1,197.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,838.32 / $8,957.00 / $16,394.00	Facility		$1,838.32	$8,957.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,573.84 / $3,631.28 / $4,236.08	Professional		$3,573.84	$3,631.28	$4,236.08
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 $499.75 / $644.14 / $940.80	Facility		$499.75	$644.14	$940.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $486.88 / $660.41 / $1,294.74	Professional		$486.88	$660.41	$1,294.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,573.53 / $1,573.53 / $1,573.53	Professional		$1,573.53	$1,573.53	$1,573.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $329.11 / $484.21 / $665.79	Professional		$329.11	$484.21	$665.79
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $376.85 / $495.72 / $1,079.63	Professional		$376.85	$495.72	$1,079.63