Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $7,146.30 / $17,902.00	Facility		$2,387.00	$7,146.30	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.95 / $521.62 / $2,671.47	Professional		$436.95	$521.62	$2,671.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $7,035.00 / $14,981.00	Facility		$2,675.00	$7,035.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $526.57 / $723.07 / $1,436.21	Professional		$526.57	$723.07	$1,436.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,389.08	Facility		$66.00	$100.00	$8,389.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $393.72 / $566.51 / $1,265.42	Professional		$393.72	$566.51	$1,265.42
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 $502.25 / $641.20 / $1,395.67	Professional		$502.25	$641.20	$1,395.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $357.04 / $607.96 / $820.75	Professional		$357.04	$607.96	$820.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $497.38 / $679.58 / $1,215.81	Professional		$497.38	$679.58	$1,215.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,414.55 / $8,957.00 / $26,542.00	Facility		$2,414.55	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,644.56 / $4,644.56 / $4,644.56	Professional		$4,644.56	$4,644.56	$4,644.56
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 $543.66 / $676.55 / $1,117.16	Facility		$543.66	$676.55	$1,117.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $506.20 / $668.76 / $1,364.82	Professional		$506.20	$668.76	$1,364.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,657.58 / $1,657.58 / $1,657.58	Professional		$1,657.58	$1,657.58	$1,657.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $464.15 / $552.09 / $675.38	Professional		$464.15	$552.09	$675.38
United Facility/Professional Facility Modifier Low / Median / High Price $6,341.00 / $13,407.00 / $28,973.00	Facility		$6,341.00	$13,407.00	$28,973.00
United Facility/Professional Professional Modifier Low / Median / High Price $396.39 / $529.42 / $1,140.94	Professional		$396.39	$529.42	$1,140.94