Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,134.00 / $6,857.00 / $22,788.00	Facility		$2,134.00	$6,857.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.15 / $470.28 / $2,415.19	Professional		$389.15	$470.28	$2,415.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $8,484.00 / $17,015.00	Facility		$1,800.00	$8,484.00	$17,015.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.90 / $574.66 / $1,181.51	Professional		$446.90	$574.66	$1,181.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $5,485.17	Facility		$67.90	$100.00	$5,485.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $292.36 / $427.45 / $1,023.25	Professional		$292.36	$427.45	$1,023.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $628.36 / $2,472.69 / $6,603.60	Facility		$628.36	$2,472.69	$6,603.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.09 / $575.07 / $1,314.06	Professional		$394.09	$575.07	$1,314.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $313.85 / $531.16 / $717.07	Professional		$313.85	$531.16	$717.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.31 / $588.04 / $1,078.07	Professional		$457.31	$588.04	$1,078.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,750.36 / $2,500.00 / $11,102.00	Facility		$1,750.36	$2,500.00	$11,102.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,332.48 / $3,403.68 / $4,053.90	Professional		$3,332.48	$3,403.68	$4,053.90
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 $444.93 / $588.04 / $864.72	Facility		$444.93	$588.04	$864.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $408.26 / $616.66 / $1,255.20	Professional		$408.26	$616.66	$1,255.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,498.58 / $1,498.58 / $1,498.58	Professional		$1,498.58	$1,498.58	$1,498.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $313.85 / $481.95 / $589.04	Professional		$313.85	$481.95	$589.04
United Facility/Professional Facility Modifier Low / Median / High Price $3,064.00 / $9,539.00 / $21,278.00	Facility		$3,064.00	$9,539.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $364.59 / $498.03 / $1,123.82	Professional		$364.59	$498.03	$1,123.82