Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.00 / $5,812.00 / $17,902.00	Facility		$1,174.00	$5,812.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.92 / $494.53 / $2,566.04	Professional		$417.92	$494.53	$2,566.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,464.00 / $10,705.00	Facility		$873.00	$4,464.00	$10,705.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.67 / $657.43 / $1,373.45	Professional		$425.67	$657.43	$1,373.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $5,349.65	Facility		$67.90	$100.00	$5,349.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $331.24 / $477.62 / $1,135.20	Professional		$331.24	$477.62	$1,135.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $3,685.47 / $9,842.49	Facility		$633.00	$3,685.47	$9,842.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.04 / $614.22 / $1,349.79	Professional		$444.04	$614.22	$1,349.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $363.74 / $563.22 / $760.35	Professional		$363.74	$563.22	$760.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $465.61 / $612.13 / $1,092.84	Professional		$465.61	$612.13	$1,092.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $14,442.95 / $16,547.20	Facility		$55.00	$14,442.95	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,468.60 / $4,468.60 / $4,468.60	Professional		$4,468.60	$4,468.60	$4,468.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $698.49	Professional		$32.34	$32.34	$698.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $473.19 / $623.16 / $966.32	Facility		$473.19	$623.16	$966.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $451.17 / $648.61 / $1,299.58	Professional		$451.17	$648.61	$1,299.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,592.19 / $1,592.19 / $1,592.19	Professional		$1,592.19	$1,592.19	$1,592.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $363.74 / $511.92 / $625.67	Professional		$363.74	$511.92	$625.67
United Facility/Professional Facility Modifier Low / Median / High Price $2,181.00 / $7,218.00 / $15,471.00	Facility		$2,181.00	$7,218.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $386.27 / $526.50 / $1,185.55	Professional		$386.27	$526.50	$1,185.55