Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,587.51 / $7,108.00 / $20,135.00	Facility		$1,587.51	$7,108.00	$20,135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $497.12 / $612.35 / $3,209.66	Professional		$497.12	$612.35	$3,209.66
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 $544.22 / $706.53 / $1,465.02	Professional		$544.22	$706.53	$1,465.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $7,602.09	Facility		$67.90	$100.00	$7,602.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $392.64 / $567.27 / $1,369.69	Professional		$392.64	$567.27	$1,369.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $611.00 / $1,766.05 / $4,917.14	Facility		$611.00	$1,766.05	$4,917.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.20 / $740.32 / $1,676.61	Professional		$512.20	$740.32	$1,676.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $350.71 / $700.52 / $945.70	Professional		$350.71	$700.52	$945.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $583.91 / $762.50 / $1,386.33	Professional		$583.91	$762.50	$1,386.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,492.66 / $7,929.30 / $26,542.00	Facility		$3,492.66	$7,929.30	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,429.52 / $4,513.20 / $5,390.25	Professional		$4,429.52	$4,513.20	$5,390.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $773.53	Professional		$32.34	$32.34	$773.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.88 / $756.04 / $1,166.59	Facility		$562.88	$756.04	$1,166.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $523.20 / $792.48 / $1,674.80	Professional		$523.20	$792.48	$1,674.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,991.53 / $1,991.53 / $1,991.53	Professional		$1,991.53	$1,991.53	$1,991.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $350.71 / $596.20 / $776.77	Professional		$350.71	$596.20	$776.77
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 $476.82 / $646.25 / $1,496.24	Professional		$476.82	$646.25	$1,496.24