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 $379.57 / $440.95 / $2,360.92	Professional		$379.57	$440.95	$2,360.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,720.00 / $10,404.00	Facility		$1,723.00	$4,720.00	$10,404.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $495.29 / $620.32 / $1,236.53	Professional		$495.29	$620.32	$1,236.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,609.24	Facility		$66.00	$100.00	$5,609.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $346.16 / $501.72 / $1,127.50	Professional		$346.16	$501.72	$1,127.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $3,101.23 / $5,554.45	Facility		$1,487.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.20 / $571.57 / $1,237.88	Professional		$444.20	$571.57	$1,237.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $253.16 / $546.24 / $737.42	Professional		$253.16	$546.24	$737.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $444.59 / $614.45 / $1,086.78	Professional		$444.59	$614.45	$1,086.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,144.40 / $8,957.00 / $12,000.00	Facility		$2,144.40	$8,957.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,317.04 / $3,378.00 / $3,955.73	Professional		$3,317.04	$3,378.00	$3,955.73
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 $469.51 / $586.14 / $817.55	Facility		$469.51	$586.14	$817.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $448.88 / $603.16 / $1,205.79	Professional		$448.88	$603.16	$1,205.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,464.89 / $1,464.89 / $1,464.89	Professional		$1,464.89	$1,464.89	$1,464.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $329.11 / $455.70 / $606.35	Professional		$329.11	$455.70	$606.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $350.17 / $465.12 / $1,103.33	Professional		$350.17	$465.12	$1,103.33