Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,159.00 / $17,030.00	Facility		$1,919.00	$6,159.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.81 / $414.80 / $2,372.02	Professional		$367.81	$414.80	$2,372.02
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 $473.56 / $630.03 / $1,190.95	Professional		$473.56	$630.03	$1,190.95
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 $336.30 / $488.44 / $1,097.67	Professional		$336.30	$488.44	$1,097.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $3,101.23 / $5,554.45	Facility		$1,992.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.93 / $563.66 / $1,236.72	Professional		$401.93	$563.66	$1,236.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $326.13 / $551.75 / $744.86	Professional		$326.13	$551.75	$744.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $448.33 / $618.98 / $1,095.91	Professional		$448.33	$618.98	$1,095.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,726.12 / $8,957.00 / $16,394.00	Facility		$1,726.12	$8,957.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,980.55 / $4,432.64 / $4,578.92	Professional		$3,980.55	$4,432.64	$4,578.92
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 $485.66 / $605.35 / $894.60	Facility		$485.66	$605.35	$894.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $405.53 / $601.52 / $1,206.67	Professional		$405.53	$601.52	$1,206.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,471.81 / $1,471.81 / $1,471.81	Professional		$1,471.81	$1,471.81	$1,471.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $423.98 / $501.15 / $616.91	Professional		$423.98	$501.15	$616.91
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 $338.10 / $440.98 / $1,008.24	Professional		$338.10	$440.98	$1,008.24