Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,587.51 / $6,631.00 / $17,701.00	Facility		$1,587.51	$6,631.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $564.80 / $637.77 / $3,338.49	Professional		$564.80	$637.77	$3,338.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $650.19 / $843.76 / $1,624.36	Professional		$650.19	$843.76	$1,624.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,263.42	Facility		$66.00	$100.00	$8,263.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $488.89 / $705.15 / $1,595.95	Professional		$488.89	$705.15	$1,595.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $8,738.87 / $15,651.72	Facility		$2,277.00	$8,738.87	$15,651.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $619.29 / $823.60 / $1,732.07	Professional		$619.29	$823.60	$1,732.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $737.11 / $995.10	Professional		$421.82	$737.11	$995.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $604.77 / $826.50 / $1,478.33	Professional		$604.77	$826.50	$1,478.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,344.44 / $25,239.65 / $26,542.00	Facility		$2,344.44	$25,239.65	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,751.88 / $4,751.88 / $5,331.15	Professional		$4,751.88	$4,751.88	$5,331.15
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 $664.08 / $837.39 / $1,108.75	Facility		$664.08	$837.39	$1,108.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $642.95 / $844.50 / $1,677.99	Professional		$642.95	$844.50	$1,677.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,071.46 / $2,071.46 / $2,071.46	Professional		$2,071.46	$2,071.46	$2,071.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $548.36 / $669.71 / $818.53	Professional		$548.36	$669.71	$818.53
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,402.00 / $15,471.00	Facility		$3,523.00	$7,402.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $492.89 / $673.77 / $1,416.24	Professional		$492.89	$673.77	$1,416.24