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 $451.96 / $532.05 / $2,869.87	Professional		$451.96	$532.05	$2,869.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $567.01 / $725.83 / $1,460.44	Professional		$567.01	$725.83	$1,460.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,796.81	Facility		$66.00	$100.00	$10,796.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $386.58 / $560.96 / $1,260.61	Professional		$386.58	$560.96	$1,260.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,101.23 / $3,106.72 / $5,554.45	Facility		$3,101.23	$3,106.72	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.50 / $677.18 / $1,500.04	Professional		$519.50	$677.18	$1,500.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $256.14 / $663.45 / $895.66	Professional		$256.14	$663.45	$895.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $540.16 / $738.70 / $1,320.42	Professional		$540.16	$738.70	$1,320.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,606.00 / $8,957.00 / $26,542.00	Facility		$2,606.00	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,033.28 / $4,107.68 / $4,805.10	Professional		$4,033.28	$4,107.68	$4,805.10
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 $547.26 / $701.45 / $970.80	Facility		$547.26	$701.45	$970.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $521.11 / $714.85 / $1,453.66	Professional		$521.11	$714.85	$1,453.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,780.69 / $1,780.69 / $1,780.69	Professional		$1,780.69	$1,780.69	$1,780.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $332.99 / $535.62 / $736.47	Professional		$332.99	$535.62	$736.47
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,758.00 / $21,278.00	Facility		$4,523.00	$9,758.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $424.17 / $549.85 / $1,200.56	Professional		$424.17	$549.85	$1,200.56