Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $7,146.30 / $20,135.00	Facility		$1,820.00	$7,146.30	$20,135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $465.09 / $519.13 / $2,656.78	Professional		$465.09	$519.13	$2,656.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $5,793.00 / $11,233.00	Facility		$1,196.00	$5,793.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $518.24 / $673.43 / $1,330.03	Professional		$518.24	$673.43	$1,330.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $7,864.42	Facility		$67.90	$100.00	$7,864.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $405.46 / $608.55 / $1,357.99	Professional		$405.46	$608.55	$1,357.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $576.29 / $1,761.60 / $4,704.56	Facility		$576.29	$1,761.60	$4,704.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $488.18 / $654.34 / $1,449.44	Professional		$488.18	$654.34	$1,449.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $454.95 / $588.78 / $860.60	Professional		$454.95	$588.78	$860.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $484.04 / $636.14 / $1,136.17	Professional		$484.04	$636.14	$1,136.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,824.44 / $7,909.30 / $26,542.00	Facility		$2,824.44	$7,909.30	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,692.40 / $3,793.76 / $4,290.83	Professional		$3,692.40	$3,793.76	$4,290.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $586.36	Professional		$32.34	$32.34	$586.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $471.49 / $645.17 / $950.85	Facility		$471.49	$645.17	$950.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $491.00 / $701.18 / $1,376.80	Professional		$491.00	$701.18	$1,376.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,648.47 / $1,648.47 / $1,648.47	Professional		$1,648.47	$1,648.47	$1,648.47
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $454.95 / $636.92 / $818.91	Professional		$454.95	$636.92	$818.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,540.00 / $3,965.00 / $9,131.00	Facility		$1,540.00	$3,965.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $413.42 / $564.74 / $1,494.29	Professional		$413.42	$564.74	$1,494.29