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 / $17,701.00	Facility		$1,820.00	$6,640.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.29 / $392.26 / $2,121.98	Professional		$325.29	$392.26	$2,121.98
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 $414.64 / $538.08 / $1,034.56	Professional		$414.64	$538.08	$1,034.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,908.14	Facility		$66.00	$100.00	$7,908.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $286.97 / $416.71 / $936.47	Professional		$286.97	$416.71	$936.47
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 $380.09 / $503.71 / $1,117.31	Professional		$380.09	$503.71	$1,117.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $253.16 / $497.63 / $671.80	Professional		$253.16	$497.63	$671.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $403.31 / $556.00 / $985.86	Professional		$403.31	$556.00	$985.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,482.10 / $4,754.80 / $26,542.00	Facility		$3,482.10	$4,754.80	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,995.84 / $3,048.64 / $3,570.15	Professional		$2,995.84	$3,048.64	$3,570.15
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 $427.69 / $539.23 / $721.56	Facility		$427.69	$539.23	$721.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $380.68 / $540.91 / $1,080.57	Professional		$380.68	$540.91	$1,080.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,316.65 / $1,316.65 / $1,316.65	Professional		$1,316.65	$1,316.65	$1,316.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $329.11 / $446.96 / $552.48	Professional		$329.11	$446.96	$552.48
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 $304.27 / $405.30 / $916.42	Professional		$304.27	$405.30	$916.42