Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,663.50 / $6,588.00 / $17,393.00	Facility		$1,663.50	$6,588.00	$17,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.62 / $438.73 / $1,192.96	Professional		$367.62	$438.73	$1,192.96
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 $491.67 / $615.78 / $1,215.22	Professional		$491.67	$615.78	$1,215.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,337.77	Facility		$66.00	$100.00	$8,337.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $358.79 / $515.90 / $1,126.01	Professional		$358.79	$515.90	$1,126.01
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 $433.26 / $557.19 / $1,174.67	Professional		$433.26	$557.19	$1,174.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $220.40 / $506.02 / $683.13	Professional		$220.40	$506.02	$683.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $412.95 / $570.52 / $965.49	Professional		$412.95	$570.52	$965.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,592.52 / $8,957.00 / $26,542.00	Facility		$1,592.52	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,239.10 / $3,345.99 / $3,637.88	Professional		$3,239.10	$3,345.99	$3,637.88
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 $450.88 / $558.23 / $809.63	Facility		$450.88	$558.23	$809.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $437.10 / $591.49 / $1,129.23	Professional		$437.10	$591.49	$1,129.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,389.54 / $1,389.54 / $1,389.54	Professional		$1,389.54	$1,389.54	$1,389.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $286.52 / $408.66 / $561.90	Professional		$286.52	$408.66	$561.90
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,713.00 / $21,278.00	Facility		$4,331.00	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $340.77 / $452.14 / $975.93	Professional		$340.77	$452.14	$975.93