Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,640.00 / $17,701.00	Facility		$1,820.00	$6,640.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.73 / $566.97 / $3,049.30	Professional		$484.73	$566.97	$3,049.30
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 $625.25 / $785.44 / $1,562.40	Professional		$625.25	$785.44	$1,562.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,908.14	Facility		$66.00	$100.00	$7,908.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $416.92 / $598.08 / $1,361.38	Professional		$416.92	$598.08	$1,361.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,101.23 / $5,554.45	Facility		$2,277.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $555.72 / $724.31 / $1,587.28	Professional		$555.72	$724.31	$1,587.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $312.73 / $687.19 / $927.71	Professional		$312.73	$687.19	$927.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $563.70 / $769.89 / $1,377.93	Professional		$563.70	$769.89	$1,377.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,745.30 / $8,957.00 / $26,542.00	Facility		$2,745.30	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,243.35 / $4,325.20 / $5,055.83	Professional		$4,243.35	$4,325.20	$5,055.83
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 $609.38 / $751.58 / $1,099.50	Facility		$609.38	$751.58	$1,099.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $555.72 / $760.94 / $1,541.63	Professional		$555.72	$760.94	$1,541.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,892.03 / $1,892.03 / $1,892.03	Professional		$1,892.03	$1,892.03	$1,892.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $406.55 / $562.91 / $762.65	Professional		$406.55	$562.91	$762.65
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $453.06 / $595.63 / $1,282.44	Professional		$453.06	$595.63	$1,282.44