Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,517.00 / $7,108.00 / $17,902.00	Facility		$2,517.00	$7,108.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.93 / $447.75 / $2,648.00	Professional		$380.93	$447.75	$2,648.00
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 $462.73 / $633.53 / $1,254.27	Professional		$462.73	$633.53	$1,254.27
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 $354.88 / $512.42 / $1,146.91	Professional		$354.88	$512.42	$1,146.91
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 $446.46 / $563.36 / $1,246.66	Professional		$446.46	$563.36	$1,246.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $267.31 / $548.91 / $741.03	Professional		$267.31	$548.91	$741.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $447.26 / $618.46 / $1,093.31	Professional		$447.26	$618.46	$1,093.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,727.88 / $8,957.00 / $26,542.00	Facility		$1,727.88	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,424.45 / $3,424.45 / $3,981.53	Professional		$3,424.45	$3,424.45	$3,981.53
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 $489.25 / $605.00 / $886.07	Facility		$489.25	$605.00	$886.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $449.84 / $592.76 / $1,205.79	Professional		$449.84	$592.76	$1,205.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,476.44 / $1,476.44 / $1,476.44	Professional		$1,476.44	$1,476.44	$1,476.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $347.50 / $481.16 / $609.30	Professional		$347.50	$481.16	$609.30
United Facility/Professional Facility Modifier Low / Median / High Price $4,980.00 / $9,758.00 / $21,278.00	Facility		$4,980.00	$9,758.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $356.69 / $467.64 / $1,005.78	Professional		$356.69	$467.64	$1,005.78