Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,551.69 / $7,108.00 / $17,902.00	Facility		$2,551.69	$7,108.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.37 / $478.88 / $2,551.69	Professional		$406.37	$478.88	$2,551.69
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 $501.02 / $687.16 / $1,348.54	Professional		$501.02	$687.16	$1,348.54
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 $379.64 / $547.66 / $1,225.17	Professional		$379.64	$547.66	$1,225.17
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 $478.68 / $604.75 / $1,332.90	Professional		$478.68	$604.75	$1,332.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $363.74 / $584.79 / $789.47	Professional		$363.74	$584.79	$789.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $477.08 / $652.20 / $1,166.20	Professional		$477.08	$652.20	$1,166.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,846.04 / $8,957.00 / $26,542.00	Facility		$1,846.04	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,570.00 / $3,635.84 / $4,253.47	Professional		$3,570.00	$3,635.84	$4,253.47
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 $521.76 / $646.32 / $953.30	Facility		$521.76	$646.32	$953.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $482.69 / $638.05 / $1,302.82	Professional		$482.69	$638.05	$1,302.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,583.28 / $1,583.28 / $1,583.28	Professional		$1,583.28	$1,583.28	$1,583.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $472.09 / $545.61 / $688.05	Professional		$472.09	$545.61	$688.05
United Facility/Professional Facility Modifier Low / Median / High Price $4,749.16 / $9,758.00 / $21,278.00	Facility		$4,749.16	$9,758.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $495.94 / $1,083.27	Professional		$378.00	$495.94	$1,083.27