Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,546.09 / $9,697.00 / $21,960.90	Facility		$3,546.09	$9,697.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.04 / $765.85 / $3,956.41	Professional		$646.04	$765.85	$3,956.41
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 $847.99 / $1,064.20 / $2,136.96	Professional		$847.99	$1,064.20	$2,136.96
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 $569.13 / $843.33 / $1,947.53	Professional		$569.13	$843.33	$1,947.53
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 $688.72 / $951.21 / $2,154.59	Professional		$688.72	$951.21	$2,154.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $432.24 / $654.11 / $1,091.92	Professional		$432.24	$654.11	$1,091.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $709.15 / $923.93 / $1,696.00	Professional		$709.15	$923.93	$1,696.00
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 $8,379.35 / $8,379.35 / $8,379.35	Professional		$8,379.35	$8,379.35	$8,379.35
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 $737.73 / $959.05 / $1,666.31	Facility		$737.73	$959.05	$1,666.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $692.04 / $1,011.70 / $2,050.85	Professional		$692.04	$1,011.70	$2,050.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,454.89 / $2,454.89 / $2,454.89	Professional		$2,454.89	$2,454.89	$2,454.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $432.24 / $734.81 / $930.94	Professional		$432.24	$734.81	$930.94
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 $618.95 / $832.15 / $1,850.08	Professional		$618.95	$832.15	$1,850.08