Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,640.00 / $17,701.00	Facility		$1,820.00	$6,640.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.98 / $542.10 / $2,873.86	Professional		$454.98	$542.10	$2,873.86
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 $573.34 / $768.86 / $1,558.14	Professional		$573.34	$768.86	$1,558.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,138.75	Facility		$66.00	$100.00	$8,138.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $426.97 / $613.10 / $1,371.48	Professional		$426.97	$613.10	$1,371.48
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 $547.79 / $695.86 / $1,481.98	Professional		$547.79	$695.86	$1,481.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $259.12 / $622.70 / $840.65	Professional		$259.12	$622.70	$840.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $515.41 / $704.63 / $1,357.49	Professional		$515.41	$704.63	$1,357.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,030.20 / $8,957.00 / $26,542.00	Facility		$2,030.20	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,919.52 / $3,958.72 / $4,664.63	Professional		$3,919.52	$3,958.72	$4,664.63
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 $564.09 / $702.16 / $1,011.94	Facility		$564.09	$702.16	$1,011.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $552.15 / $730.53 / $1,449.71	Professional		$552.15	$730.53	$1,449.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,783.18 / $1,783.18 / $1,783.18	Professional		$1,783.18	$1,783.18	$1,783.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $336.86 / $502.49 / $690.92	Professional		$336.86	$502.49	$690.92
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,758.00 / $21,278.00	Facility		$4,523.00	$9,758.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $429.03 / $573.46 / $1,215.66	Professional		$429.03	$573.46	$1,215.66