Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $5,308.00 / $16,713.00	Facility		$1,080.00	$5,308.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.72 / $480.32 / $2,560.37	Professional		$406.72	$480.32	$2,560.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.16 / $656.46 / $1,320.88	Professional		$524.16	$656.46	$1,320.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,367.09	Facility		$66.00	$100.00	$5,367.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $349.03 / $502.86 / $1,139.00	Professional		$349.03	$502.86	$1,139.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.20 / $253.65 / $1,487.00	Facility		$253.20	$253.65	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.98 / $595.39 / $1,333.73	Professional		$455.98	$595.39	$1,333.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $190.62 / $285.93 / $747.64	Professional		$190.62	$285.93	$747.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $486.27 / $665.14 / $1,224.43	Professional		$486.27	$665.14	$1,224.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,873.40 / $4,292.35 / $12,000.00	Facility		$1,873.40	$4,292.35	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,624.88 / $3,688.56 / $4,319.10	Professional		$3,624.88	$3,688.56	$4,319.10
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 $435.31 / $628.40 / $867.41	Facility		$435.31	$628.40	$867.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $455.98 / $630.85 / $1,304.82	Professional		$455.98	$630.85	$1,304.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,588.67 / $1,588.67 / $1,588.67	Professional		$1,588.67	$1,588.67	$1,588.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $247.80 / $408.65 / $663.97	Professional		$247.80	$408.65	$663.97
United Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,506.00 / $6,323.00	Facility		$526.00	$1,506.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $376.04 / $487.98 / $1,037.83	Professional		$376.04	$487.98	$1,037.83