Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,880.00 / $17,393.00	Facility		$1,820.00	$6,880.00	$17,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.04 / $488.56 / $2,428.90	Professional		$424.04	$488.56	$2,428.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $568.51 / $759.72 / $1,509.02	Professional		$568.51	$759.72	$1,509.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,826.58	Facility		$66.00	$100.00	$7,826.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $434.56 / $617.59 / $1,240.72	Professional		$434.56	$617.59	$1,240.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,360.35 / $4,227.49	Facility		$2,277.00	$2,360.35	$4,227.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $498.87 / $698.78 / $1,303.08	Professional		$498.87	$698.78	$1,303.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $368.95 / $543.54 / $733.78	Professional		$368.95	$543.54	$733.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $447.72 / $621.48 / $1,094.43	Professional		$447.72	$621.48	$1,094.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,748.92 / $6,817.20 / $26,542.00	Facility		$1,748.92	$6,817.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,999.45 / $4,818.24 / $4,977.24	Professional		$3,999.45	$4,818.24	$4,977.24
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 $497.92 / $652.25 / $1,011.95	Facility		$497.92	$652.25	$1,011.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $507.11 / $721.55 / $1,246.60	Professional		$507.11	$721.55	$1,246.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,507.07 / $1,507.07 / $1,507.07	Professional		$1,507.07	$1,507.07	$1,507.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $438.78 / $553.41 / $697.91	Professional		$438.78	$553.41	$697.91
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 $372.68 / $530.04 / $1,129.59	Professional		$372.68	$530.04	$1,129.59