Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,310.00 / $16,713.00	Facility		$1,208.95	$5,310.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $451.52 / $529.11 / $2,841.64	Professional		$451.52	$529.11	$2,841.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,108.19 / $6,945.00 / $14,109.13	Facility		$3,108.19	$6,945.00	$14,109.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $584.13 / $732.73 / $1,456.88	Professional		$584.13	$732.73	$1,456.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $7,125.38	Facility		$64.40	$100.00	$7,125.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $353.53 / $506.61 / $1,151.28	Professional		$353.53	$506.61	$1,151.28
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 $507.18 / $661.37 / $1,469.79	Professional		$507.18	$661.37	$1,469.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $378.63 / $572.98 / $811.86	Professional		$378.63	$572.98	$811.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $531.59 / $726.26 / $1,299.43	Professional		$531.59	$726.26	$1,299.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,171.70 / $3,232.10	Facility		$55.00	$3,171.70	$3,232.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,990.56 / $4,066.16 / $4,758.14	Professional		$3,990.56	$4,066.16	$4,758.14
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 $562.15 / $708.78 / $974.57	Facility		$562.15	$708.78	$974.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $507.18 / $695.31 / $1,460.06	Professional		$507.18	$695.31	$1,460.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,763.17 / $1,763.17 / $1,763.17	Professional		$1,763.17	$1,763.17	$1,763.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $492.22 / $589.79 / $720.85	Professional		$492.22	$589.79	$720.85
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,758.00 / $21,278.00	Facility		$4,728.00	$9,758.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $421.74 / $561.22 / $1,212.75	Professional		$421.74	$561.22	$1,212.75