Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,812.00 / $17,902.00	Facility		$1,208.95	$5,812.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.10 / $448.41 / $2,402.75	Professional		$349.10	$448.41	$2,402.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,417.00 / $9,244.00	Facility		$873.00	$4,417.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.77 / $523.97 / $1,058.68	Professional		$375.77	$523.97	$1,058.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $5,591.57	Facility		$67.90	$100.00	$5,591.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $331.88 / $495.26 / $1,124.23	Professional		$331.88	$495.26	$1,124.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $1,654.75 / $4,704.56	Facility		$400.00	$1,654.75	$4,704.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.31 / $576.97 / $1,319.40	Professional		$394.31	$576.97	$1,319.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $372.30 / $574.26 / $775.25	Professional		$372.30	$574.26	$775.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $452.49 / $596.26 / $1,068.22	Professional		$452.49	$596.26	$1,068.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,502.30 / $7,909.30 / $12,000.00	Facility		$2,502.30	$7,909.30	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,277.04 / $3,371.12 / $3,844.28	Professional		$3,277.04	$3,371.12	$3,844.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $547.48	Professional		$32.34	$32.34	$547.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $376.07 / $588.91 / $940.50	Facility		$376.07	$588.91	$940.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $623.16 / $1,243.41	Professional		$400.00	$623.16	$1,243.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,490.87 / $1,490.87 / $1,490.87	Professional		$1,490.87	$1,490.87	$1,490.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $372.30 / $522.19 / $670.14	Professional		$372.30	$522.19	$670.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,540.00 / $3,964.00 / $9,131.00	Facility		$1,540.00	$3,964.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $350.28 / $478.40 / $1,134.52	Professional		$350.28	$478.40	$1,134.52