Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,587.51 / $7,108.00 / $20,135.00	Facility		$1,587.51	$7,108.00	$20,135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.95 / $522.33 / $2,636.16	Professional		$457.95	$522.33	$2,636.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $7,007.00 / $15,529.00	Facility		$1,450.00	$7,007.00	$15,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.23 / $653.95 / $1,317.94	Professional		$501.23	$653.95	$1,317.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $8,263.42	Facility		$67.90	$100.00	$8,263.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $398.12 / $601.91 / $1,345.12	Professional		$398.12	$601.91	$1,345.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $558.49 / $3,461.93 / $10,261.32	Facility		$558.49	$3,461.93	$10,261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $479.93 / $650.82 / $1,448.32	Professional		$479.93	$650.82	$1,448.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $434.85 / $589.87 / $822.57	Professional		$434.85	$589.87	$822.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $477.90 / $628.82 / $1,112.60	Professional		$477.90	$628.82	$1,112.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,738.46 / $16,547.20 / $26,542.00	Facility		$2,738.46	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,794.81 / $4,794.81 / $4,794.81	Professional		$4,794.81	$4,794.81	$4,794.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $708.24	Professional		$32.34	$32.34	$708.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $503.57 / $663.39 / $1,143.22	Facility		$503.57	$663.39	$1,143.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $480.05 / $693.49 / $1,375.61	Professional		$480.05	$693.49	$1,375.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,635.69 / $1,635.69 / $1,635.69	Professional		$1,635.69	$1,635.69	$1,635.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $434.85 / $608.78 / $782.72	Professional		$434.85	$608.78	$782.72
United Facility/Professional Facility Modifier Low / Median / High Price $3,570.00 / $11,671.00 / $26,451.00	Facility		$3,570.00	$11,671.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $405.54 / $556.14 / $1,489.16	Professional		$405.54	$556.14	$1,489.16