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 $324.23 / $376.54 / $2,040.56	Professional		$324.23	$376.54	$2,040.56
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 $359.62 / $470.03 / $926.77	Professional		$359.62	$470.03	$926.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,181.81	Facility		$66.00	$100.00	$8,181.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $275.72 / $399.65 / $898.13	Professional		$275.72	$399.65	$898.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $6,894.76 / $12,348.83	Facility		$2,277.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.37 / $491.42 / $1,077.22	Professional		$374.37	$491.42	$1,077.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $175.35 / $478.82 / $646.41	Professional		$175.35	$478.82	$646.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $388.18 / $535.20 / $948.88	Professional		$388.18	$535.20	$948.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,489.92 / $19,913.50 / $26,542.00	Facility		$1,489.92	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,435.90 / $3,648.58 / $3,768.98	Professional		$3,435.90	$3,648.58	$3,768.98
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 $411.69 / $526.70 / $773.22	Facility		$411.69	$526.70	$773.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $374.37 / $525.41 / $1,041.45	Professional		$374.37	$525.41	$1,041.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,266.13 / $1,266.13 / $1,266.13	Professional		$1,266.13	$1,266.13	$1,266.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $227.96 / $375.93 / $531.59	Professional		$227.96	$375.93	$531.59
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $7,402.00 / $15,471.00	Facility		$3,800.00	$7,402.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $301.52 / $397.09 / $954.58	Professional		$301.52	$397.09	$954.58