Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,956.72 / $8,183.00 / $20,509.00	Facility		$1,956.72	$8,183.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.02 / $578.70 / $1,652.79	Professional		$468.02	$578.70	$1,652.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $8,103.00 / $16,413.00	Facility		$1,500.00	$8,103.00	$16,413.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.27 / $735.52 / $1,522.33	Professional		$524.27	$735.52	$1,522.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $9,276.48	Facility		$67.90	$100.00	$9,276.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $362.57 / $524.45 / $1,261.99	Professional		$362.57	$524.45	$1,261.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $643.00 / $1,766.05 / $4,917.14	Facility		$643.00	$1,766.05	$4,917.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $480.71 / $696.35 / $1,605.52	Professional		$480.71	$696.35	$1,605.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $440.06 / $674.19 / $910.16	Professional		$440.06	$674.19	$910.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $558.25 / $729.85 / $1,200.42	Professional		$558.25	$729.85	$1,200.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,312.06 / $7,929.30 / $26,542.00	Facility		$3,312.06	$7,929.30	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,206.72 / $4,281.28 / $5,115.38	Professional		$4,206.72	$4,281.28	$5,115.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $799.89	Professional		$32.34	$32.34	$799.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $547.26 / $741.32 / $1,039.50	Facility		$547.26	$741.32	$1,039.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $491.93 / $755.94 / $1,565.71	Professional		$491.93	$755.94	$1,565.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,822.28 / $1,822.28 / $1,822.28	Professional		$1,822.28	$1,822.28	$1,822.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $440.06 / $616.08 / $792.11	Professional		$440.06	$616.08	$792.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,181.00 / $7,206.00 / $15,471.00	Facility		$2,181.00	$7,206.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $441.55 / $604.67 / $1,451.31	Professional		$441.55	$604.67	$1,451.31