Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $6,695.00 / $19,011.00	Facility		$2,197.85	$6,695.00	$19,011.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.41 / $438.65 / $2,028.88	Professional		$354.41	$438.65	$2,028.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $6,797.00 / $13,326.00	Facility		$1,450.00	$6,797.00	$13,326.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $396.24 / $548.48 / $1,111.78	Professional		$396.24	$548.48	$1,111.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.80 / $100.00 / $7,501.98	Facility		$69.80	$100.00	$7,501.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $267.63 / $387.97 / $934.91	Professional		$267.63	$387.97	$934.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $1,766.05 / $4,917.14	Facility		$520.00	$1,766.05	$4,917.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.85 / $525.00 / $1,189.20	Professional		$360.85	$525.00	$1,189.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $317.57 / $496.37 / $670.10	Professional		$317.57	$496.37	$670.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $404.37 / $531.70 / $974.89	Professional		$404.37	$531.70	$974.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,331.96 / $7,929.30 / $26,542.00	Facility		$2,331.96	$7,929.30	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,056.96 / $3,117.60 / $3,545.25	Professional		$3,056.96	$3,117.60	$3,545.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $597.17	Professional		$32.34	$32.34	$597.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $403.97 / $539.16 / $816.00	Facility		$403.97	$539.16	$816.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $370.40 / $558.37 / $1,120.79	Professional		$370.40	$558.37	$1,120.79
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $4,355.00 / $4,355.00 / $4,355.00	Facility		$4,355.00	$4,355.00	$4,355.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,396.32 / $1,396.32 / $1,396.32	Professional		$1,396.32	$1,396.32	$1,396.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $317.57 / $451.04 / $571.63	Professional		$317.57	$451.04	$571.63
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 $333.45 / $450.18 / $1,025.06	Professional		$333.45	$450.18	$1,025.06