Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,444.88 / $8,859.00 / $19,368.00	Facility		$2,444.88	$8,859.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.46 / $469.43 / $2,444.88	Professional		$364.46	$469.43	$2,444.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $8,484.00 / $17,774.00	Facility		$2,776.00	$8,484.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $483.29 / $611.98 / $1,221.90	Professional		$483.29	$611.98	$1,221.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,539.24	Facility		$66.00	$100.00	$11,539.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $322.02 / $464.24 / $1,052.10	Professional		$322.02	$464.24	$1,052.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $6,894.76 / $12,348.83	Facility		$3,203.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.55 / $579.16 / $1,278.58	Professional		$438.55	$579.16	$1,278.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $210.72 / $561.36 / $757.84	Professional		$210.72	$561.36	$757.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.85 / $633.49 / $1,119.18	Professional		$457.85	$633.49	$1,119.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,214.00 / $19,913.50 / $26,542.00	Facility		$2,214.00	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,424.48 / $3,488.56 / $4,081.80	Professional		$3,424.48	$3,488.56	$4,081.80
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 $474.70 / $601.85 / $815.71	Facility		$474.70	$601.85	$815.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $444.46 / $612.54 / $1,237.97	Professional		$444.46	$612.54	$1,237.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,517.00 / $1,517.00 / $1,517.00	Professional		$1,517.00	$1,517.00	$1,517.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $273.94 / $451.75 / $623.12	Professional		$273.94	$451.75	$623.12
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $7,454.00 / $15,471.00	Facility		$3,800.00	$7,454.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $361.80 / $468.99 / $1,018.05	Professional		$361.80	$468.99	$1,018.05