Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,159.00 / $17,030.00	Facility		$1,919.00	$6,159.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $429.88 / $510.07 / $2,726.60	Professional		$429.88	$510.07	$2,726.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,597.00 / $9,381.00	Facility		$1,723.00	$4,597.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $554.54 / $694.53 / $1,397.46	Professional		$554.54	$694.53	$1,397.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,848.26	Facility		$66.00	$100.00	$6,848.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $341.80 / $493.25 / $1,112.70	Professional		$341.80	$493.25	$1,112.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,816.42 / $1,819.64 / $3,253.30	Facility		$1,816.42	$1,819.64	$3,253.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.61 / $634.50 / $1,413.51	Professional		$484.61	$634.50	$1,413.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $391.29 / $630.25 / $1,296.80	Professional		$391.29	$630.25	$1,296.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $513.41 / $702.03 / $1,255.03	Professional		$513.41	$702.03	$1,255.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,479.05 / $5,246.20 / $16,394.00	Facility		$2,479.05	$5,246.20	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,480.39 / $4,480.39 / $4,571.93	Professional		$4,480.39	$4,480.39	$4,571.93
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 $542.33 / $684.56 / $950.32	Facility		$542.33	$684.56	$950.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $488.08 / $666.66 / $1,383.63	Professional		$488.08	$666.66	$1,383.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,691.81 / $1,691.81 / $1,691.81	Professional		$1,691.81	$1,691.81	$1,691.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $508.67 / $572.40 / $699.60	Professional		$508.67	$572.40	$699.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,213.00 / $9,131.00	Facility		$2,090.00	$4,213.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $403.11 / $534.24 / $1,136.80	Professional		$403.11	$534.24	$1,136.80