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 $380.88 / $447.54 / $2,256.54	Professional		$380.88	$447.54	$2,256.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $5,944.00 / $13,697.00	Facility		$1,196.00	$5,944.00	$13,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $435.42 / $572.60 / $1,148.05	Professional		$435.42	$572.60	$1,148.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $19,707.12	Facility		$67.90	$100.00	$19,707.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $324.00 / $480.04 / $1,109.43	Professional		$324.00	$480.04	$1,109.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $447.57 / $3,571.34 / $10,153.54	Facility		$447.57	$3,571.34	$10,153.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.83 / $550.62 / $1,200.10	Professional		$413.83	$550.62	$1,200.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $212.21 / $447.59 / $604.25	Professional		$212.21	$447.59	$604.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $379.18 / $494.90 / $911.55	Professional		$379.18	$494.90	$911.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,691.50 / $14,899.43 / $17,070.15	Facility		$2,691.50	$14,899.43	$17,070.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,534.15 / $5,296.80 / $5,296.80	Professional		$3,534.15	$5,296.80	$5,296.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $608.54	Professional		$32.34	$32.34	$608.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.89 / $526.64 / $791.05	Facility		$407.89	$526.64	$791.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $416.75 / $581.40 / $1,150.00	Professional		$416.75	$581.40	$1,150.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,400.14 / $1,400.14 / $1,400.14	Professional		$1,400.14	$1,400.14	$1,400.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $212.21 / $360.86 / $496.19	Professional		$212.21	$360.86	$496.19
United Facility/Professional Facility Modifier Low / Median / High Price $6,341.00 / $12,906.00 / $30,330.00	Facility		$6,341.00	$12,906.00	$30,330.00
United Facility/Professional Professional Modifier Low / Median / High Price $350.56 / $475.76 / $1,045.61	Professional		$350.56	$475.76	$1,045.61