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 $445.38 / $562.03 / $2,940.84	Professional		$445.38	$562.03	$2,940.84
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 $516.98 / $692.50 / $1,385.13	Professional		$516.98	$692.50	$1,385.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $6,919.63	Facility		$67.90	$100.00	$6,919.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $347.92 / $502.54 / $1,212.51	Professional		$347.92	$502.54	$1,212.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $535.00 / $1,766.05 / $4,917.14	Facility		$535.00	$1,766.05	$4,917.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $462.29 / $675.70 / $1,556.86	Professional		$462.29	$675.70	$1,556.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $372.30 / $652.91 / $881.43	Professional		$372.30	$652.91	$881.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $541.01 / $707.23 / $1,280.18	Professional		$541.01	$707.23	$1,280.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,212.46 / $7,929.30 / $16,394.00	Facility		$3,212.46	$7,929.30	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,079.92 / $4,155.84 / $4,961.03	Professional		$4,079.92	$4,155.84	$4,961.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $759.46	Professional		$32.34	$32.34	$759.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $527.48 / $707.97 / $1,044.66	Facility		$527.48	$707.97	$1,044.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $471.20 / $730.45 / $1,539.13	Professional		$471.20	$730.45	$1,539.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,824.72 / $1,824.72 / $1,824.72	Professional		$1,824.72	$1,824.72	$1,824.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $372.30 / $592.46 / $724.12	Professional		$372.30	$592.46	$724.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $7,029.00 / $14,743.00	Facility		$1,300.00	$7,029.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $425.62 / $589.32 / $1,344.38	Professional		$425.62	$589.32	$1,344.38