Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $5,178.00 / $16,713.00	Facility		$1,080.00	$5,178.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.21 / $429.47 / $2,339.31	Professional		$365.21	$429.47	$2,339.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,597.00 / $9,381.00	Facility		$1,723.00	$4,597.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $465.40 / $603.70 / $1,172.81	Professional		$465.40	$603.70	$1,172.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,919.63	Facility		$66.00	$100.00	$6,919.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $273.27 / $395.81 / $904.58	Professional		$273.27	$395.81	$904.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $1,646.28 / $2,948.55	Facility		$1,487.00	$1,646.28	$2,948.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.39 / $537.48 / $1,220.00	Professional		$397.39	$537.48	$1,220.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $291.88 / $555.26 / $749.60	Professional		$291.88	$555.26	$749.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $448.97 / $618.04 / $1,097.49	Professional		$448.97	$618.04	$1,097.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,717.28 / $4,754.80	Facility		$55.00	$1,717.28	$4,754.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,328.72 / $3,389.04 / $3,960.68	Professional		$3,328.72	$3,389.04	$3,960.68
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 $474.13 / $598.63 / $812.44	Facility		$474.13	$598.63	$812.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $397.39 / $561.73 / $1,200.08	Professional		$397.39	$561.73	$1,200.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,451.50 / $1,451.50 / $1,451.50	Professional		$1,451.50	$1,451.50	$1,451.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $379.45 / $504.41 / $616.51	Professional		$379.45	$504.41	$616.51
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,572.00 / $6,323.00	Facility		$587.00	$1,572.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $344.52 / $446.60 / $974.10	Professional		$344.52	$446.60	$974.10