Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,608.00 / $7,108.00 / $17,902.00	Facility		$2,608.00	$7,108.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $443.12 / $519.37 / $2,775.50	Professional		$443.12	$519.37	$2,775.50
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 $539.75 / $731.15 / $1,464.98	Professional		$539.75	$731.15	$1,464.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,343.54	Facility		$66.00	$100.00	$8,343.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $406.74 / $590.29 / $1,320.35	Professional		$406.74	$590.29	$1,320.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,106.72 / $5,554.45	Facility		$2,277.00	$3,106.72	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $521.30 / $671.29 / $1,451.29	Professional		$521.30	$671.29	$1,451.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $383.10 / $633.42 / $2,214.06	Professional		$383.10	$633.42	$2,214.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $517.65 / $707.48 / $1,265.36	Professional		$517.65	$707.48	$1,265.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,010.80 / $8,957.00 / $26,542.00	Facility		$3,010.80	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,881.76 / $3,956.88 / $4,622.55	Professional		$3,881.76	$3,956.88	$4,622.55
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 $565.98 / $716.99 / $999.68	Facility		$565.98	$716.99	$999.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $522.96 / $723.66 / $1,418.73	Professional		$522.96	$723.66	$1,418.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,722.13 / $1,722.13 / $1,722.13	Professional		$1,722.13	$1,722.13	$1,722.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $498.03 / $575.25 / $703.09	Professional		$498.03	$575.25	$703.09
United Facility/Professional Facility Modifier Low / Median / High Price $4,763.00 / $9,758.00 / $21,278.00	Facility		$4,763.00	$9,758.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $411.21 / $548.28 / $1,175.22	Professional		$411.21	$548.28	$1,175.22