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 $446.85 / $527.23 / $2,823.71	Professional		$446.85	$527.23	$2,823.71
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 $575.09 / $728.97 / $1,448.47	Professional		$575.09	$728.97	$1,448.47
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 $410.87 / $595.17 / $1,337.53	Professional		$410.87	$595.17	$1,337.53
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 $501.98 / $664.27 / $1,470.92	Professional		$501.98	$664.27	$1,470.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $406.55 / $654.50 / $2,214.06	Professional		$406.55	$654.50	$2,214.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $532.41 / $728.18 / $1,301.45	Professional		$532.41	$728.18	$1,301.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,052.71 / $8,957.00 / $26,542.00	Facility		$2,052.71	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,970.80 / $4,044.56 / $4,732.64	Professional		$3,970.80	$4,044.56	$4,732.64
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 $529.65 / $699.98 / $969.84	Facility		$529.65	$699.98	$969.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $515.82 / $698.87 / $1,431.97	Professional		$515.82	$698.87	$1,431.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,752.05 / $1,752.05 / $1,752.05	Professional		$1,752.05	$1,752.05	$1,752.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $528.40 / $594.45 / $726.55	Professional		$528.40	$594.45	$726.55
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $29,312.00	Facility		$7,212.00	$13,651.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $417.15 / $540.75 / $1,138.50	Professional		$417.15	$540.75	$1,138.50