Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,870.00 / $19,368.00	Facility		$2,421.00	$8,870.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $556.83 / $649.63 / $3,485.30	Professional		$556.83	$649.63	$3,485.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,231.00 / $21,405.00	Facility		$2,456.00	$7,231.00	$21,405.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $606.98 / $904.19 / $1,890.84	Professional		$606.98	$904.19	$1,890.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,509.60	Facility		$64.40	$100.00	$5,509.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $503.55 / $721.41 / $1,642.10	Professional		$503.55	$721.41	$1,642.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $647.82 / $817.34 / $1,802.18	Professional		$647.82	$817.34	$1,802.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $526.05 / $777.59 / $995.10	Professional		$526.05	$777.59	$995.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $640.95 / $874.69 / $1,585.77	Professional		$640.95	$874.69	$1,585.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,851.40 / $3,925.15	Facility		$55.00	$3,851.40	$3,925.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,992.93 / $4,992.93 / $5,779.05	Professional		$4,992.93	$4,992.93	$5,779.05
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 $701.65 / $865.48 / $1,190.69	Facility		$701.65	$865.48	$1,190.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $658.09 / $855.52 / $1,759.51	Professional		$658.09	$855.52	$1,759.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,162.57 / $2,162.57 / $2,162.57	Professional		$2,162.57	$2,162.57	$2,162.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $627.54 / $789.09 / $995.11	Professional		$627.54	$789.09	$995.11
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $29,312.00	Facility		$7,212.00	$13,651.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $519.48 / $673.40 / $1,485.26	Professional		$519.48	$673.40	$1,485.26