Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,159.00 / $17,030.00	Facility		$1,919.00	$6,159.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.19 / $437.34 / $2,333.63	Professional		$376.19	$437.34	$2,333.63
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 $451.57 / $606.35 / $1,220.03	Professional		$451.57	$606.35	$1,220.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,170.31	Facility		$66.00	$100.00	$7,170.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $335.83 / $487.23 / $1,094.95	Professional		$335.83	$487.23	$1,094.95
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 $432.40 / $550.50 / $1,216.03	Professional		$432.40	$550.50	$1,216.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $178.33 / $554.95 / $749.18	Professional		$178.33	$554.95	$749.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $447.99 / $615.54 / $1,095.08	Professional		$447.99	$615.54	$1,095.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,706.44 / $8,957.00 / $16,394.00	Facility		$1,706.44	$8,957.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,332.48 / $3,386.64 / $3,918.90	Professional		$3,332.48	$3,386.64	$3,918.90
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 $425.00 / $580.94 / $804.68	Facility		$425.00	$580.94	$804.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $432.49 / $577.46 / $1,195.38	Professional		$432.49	$577.46	$1,195.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,447.97 / $1,447.97 / $1,447.97	Professional		$1,447.97	$1,447.97	$1,447.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $231.83 / $382.31 / $616.33	Professional		$231.83	$382.31	$616.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,212.00 / $4,213.00 / $9,131.00	Facility		$2,212.00	$4,213.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $344.03 / $457.56 / $1,061.86	Professional		$344.03	$457.56	$1,061.86