Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.00 / $6,423.00 / $18,483.00	Facility		$1,539.00	$6,423.00	$18,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.01 / $398.16 / $1,883.04	Professional		$345.01	$398.16	$1,883.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $5,863.00 / $13,697.00	Facility		$1,196.00	$5,863.00	$13,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $469.79 / $665.80 / $1,233.36	Professional		$469.79	$665.80	$1,233.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $6,929.19	Facility		$67.90	$100.00	$6,929.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $288.23 / $419.75 / $956.64	Professional		$288.23	$419.75	$956.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $1,091.68 / $3,039.51	Facility		$455.00	$1,091.68	$3,039.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.45 / $500.76 / $1,054.52	Professional		$374.45	$500.76	$1,054.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $266.94 / $389.93 / $526.41	Professional		$266.94	$389.93	$526.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $326.30 / $428.44 / $795.48	Professional		$326.30	$428.44	$795.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,262.19 / $6,482.70 / $16,394.00	Facility		$2,262.19	$6,482.70	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,826.69 / $2,826.69 / $2,913.75	Professional		$2,826.69	$2,826.69	$2,913.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $508.52	Professional		$32.34	$32.34	$508.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $359.89 / $480.19 / $845.22	Facility		$359.89	$480.19	$845.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $380.79 / $519.69 / $971.82	Professional		$380.79	$519.69	$971.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,168.38 / $1,168.38 / $1,168.38	Professional		$1,168.38	$1,168.38	$1,168.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $266.94 / $373.71 / $480.49	Professional		$266.94	$373.71	$480.49
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 $294.20 / $427.63 / $886.01	Professional		$294.20	$427.63	$886.01