Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $5,980.00 / $17,030.00	Facility		$1,486.00	$5,980.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.54 / $575.05 / $3,081.77	Professional		$473.54	$575.05	$3,081.77
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 $630.29 / $820.64 / $1,651.21	Professional		$630.29	$820.64	$1,651.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,230.50	Facility		$66.00	$100.00	$7,230.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $470.96 / $673.07 / $1,527.93	Professional		$470.96	$673.07	$1,527.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $3,930.72 / $7,040.10	Facility		$1,992.00	$3,930.72	$7,040.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $584.58 / $750.74 / $1,608.64	Professional		$584.58	$750.74	$1,608.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $700.26 / $957.08	Professional		$505.96	$700.26	$957.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $573.08 / $783.03 / $1,444.93	Professional		$573.08	$783.03	$1,444.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,226.23 / $11,352.75 / $16,394.00	Facility		$2,226.23	$11,352.75	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,126.39 / $6,452.47 / $6,665.40	Professional		$5,126.39	$6,452.47	$6,665.40
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 $629.04 / $814.50 / $1,265.80	Facility		$629.04	$814.50	$1,265.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $588.42 / $798.47 / $1,578.66	Professional		$588.42	$798.47	$1,578.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,912.18 / $1,912.18 / $1,912.18	Professional		$1,912.18	$1,912.18	$1,912.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $565.25 / $758.93 / $957.08	Professional		$565.25	$758.93	$957.08
United Facility/Professional Facility Modifier Low / Median / High Price $4,509.00 / $9,699.00 / $20,988.00	Facility		$4,509.00	$9,699.00	$20,988.00
United Facility/Professional Professional Modifier Low / Median / High Price $457.11 / $616.46 / $1,315.88	Professional		$457.11	$616.46	$1,315.88