Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,530.35 / $9,697.00 / $21,960.90	Facility		$3,530.35	$9,697.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.46 / $658.81 / $3,394.57	Professional		$553.46	$658.81	$3,394.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,700.00 / $9,256.00 / $19,696.00	Facility		$1,700.00	$9,256.00	$19,696.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.86 / $907.83 / $1,826.65	Professional		$724.86	$907.83	$1,826.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $19,950.95	Facility		$67.90	$100.00	$19,950.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $474.85 / $703.93 / $1,653.64	Professional		$474.85	$703.93	$1,653.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $716.00 / $920.00 / $14,932.00	Facility		$716.00	$920.00	$14,932.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $584.22 / $815.15 / $1,851.41	Professional		$584.22	$815.15	$1,851.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $360.01 / $544.80 / $946.32	Professional		$360.01	$544.80	$946.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $612.36 / $798.28 / $1,461.61	Professional		$612.36	$798.28	$1,461.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $10,160.00 / $13,486.75	Facility		$2,800.00	$10,160.00	$13,486.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,333.07 / $5,333.07 / $5,717.10	Professional		$5,333.07	$5,333.07	$5,717.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $636.55 / $827.53 / $1,266.38	Facility		$636.55	$827.53	$1,266.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $608.57 / $867.87 / $1,760.90	Professional		$608.57	$867.87	$1,760.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,106.25 / $2,106.25 / $2,106.25	Professional		$2,106.25	$2,106.25	$2,106.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $360.01 / $612.02 / $806.89	Professional		$360.01	$612.02	$806.89
United Facility/Professional Facility Modifier Low / Median / High Price $4,169.00 / $13,245.00 / $29,571.00	Facility		$4,169.00	$13,245.00	$29,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $520.78 / $707.71 / $1,573.79	Professional		$520.78	$707.71	$1,573.79