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 $390.88 / $462.32 / $2,367.14	Professional		$390.88	$462.32	$2,367.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $5,863.00 / $13,697.00	Facility		$1,196.00	$5,863.00	$13,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $440.30 / $598.47 / $1,171.43	Professional		$440.30	$598.47	$1,171.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $7,736.25	Facility		$67.90	$100.00	$7,736.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $345.33 / $512.11 / $1,179.44	Professional		$345.33	$512.11	$1,179.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $2,006.98 / $5,359.89	Facility		$629.00	$2,006.98	$5,359.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.62 / $578.54 / $1,283.68	Professional		$436.62	$578.54	$1,283.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $342.14 / $496.19 / $669.86	Professional		$342.14	$496.19	$669.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $420.62 / $549.96 / $1,008.26	Professional		$420.62	$549.96	$1,008.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,865.14 / $9,011.04	Facility		$55.00	$7,865.14	$9,011.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,888.00 / $3,888.00 / $3,961.35	Professional		$3,888.00	$3,888.00	$3,961.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $671.47	Professional		$32.34	$32.34	$671.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $443.58 / $578.48 / $891.48	Facility		$443.58	$578.48	$891.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $438.12 / $612.69 / $1,228.25	Professional		$438.12	$612.69	$1,228.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,468.77 / $1,468.77 / $1,468.77	Professional		$1,468.77	$1,468.77	$1,468.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $342.14 / $479.00 / $615.86	Professional		$342.14	$479.00	$615.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,838.06 / $9,539.00 / $21,278.00	Facility		$2,838.06	$9,539.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $366.16 / $506.27 / $1,106.20	Professional		$366.16	$506.27	$1,106.20