Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,640.00 / $17,538.00	Facility		$1,820.00	$6,640.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.52 / $479.79 / $2,018.00	Professional		$410.52	$479.79	$2,018.00
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 $544.05 / $720.00 / $1,384.34	Professional		$544.05	$720.00	$1,384.34
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,854.54	Facility		$66.00	$100.00	$6,854.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $349.58 / $499.67 / $1,113.35	Professional		$349.58	$499.67	$1,113.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,360.35 / $2,364.53 / $5,980.00	Facility		$2,360.35	$2,364.53	$5,980.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $471.88 / $595.72 / $1,281.38	Professional		$471.88	$595.72	$1,281.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $385.70 / $532.87 / $1,685.12	Professional		$385.70	$532.87	$1,685.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $443.94 / $611.65 / $1,098.10	Professional		$443.94	$611.65	$1,098.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,651.22 / $6,817.20	Facility		$55.00	$2,651.22	$6,817.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,374.72 / $3,444.80 / $4,082.70	Professional		$3,374.72	$3,444.80	$4,082.70
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 $478.74 / $596.79 / $820.03	Facility		$478.74	$596.79	$820.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $473.05 / $624.00 / $1,257.00	Professional		$473.05	$624.00	$1,257.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,509.60 / $1,509.60 / $1,509.60	Professional		$1,509.60	$1,509.60	$1,509.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $429.78 / $501.41 / $655.69	Professional		$429.78	$501.41	$655.69
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 $367.31 / $502.10 / $1,029.85	Professional		$367.31	$502.10	$1,029.85