Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $8,728.00 / $22,330.11	Facility		$1,992.00	$8,728.00	$22,330.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.92 / $790.55 / $2,801.94	Professional		$666.92	$790.55	$2,801.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $8,484.00 / $18,150.00	Facility		$1,500.00	$8,484.00	$18,150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $752.36 / $977.82 / $1,961.93	Professional		$752.36	$977.82	$1,961.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $11,132.39	Facility		$67.90	$100.00	$11,132.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $526.67 / $761.49 / $1,796.07	Professional		$526.67	$761.49	$1,796.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $766.00 / $6,772.00	Facility		$633.00	$766.00	$6,772.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $685.35 / $968.91 / $2,202.15	Professional		$685.35	$968.91	$2,202.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $540.58 / $878.27 / $1,141.75	Professional		$540.58	$878.27	$1,141.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $740.47 / $965.16 / $1,914.63	Professional		$740.47	$965.16	$1,914.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,548.71 / $13,486.75	Facility		$55.00	$11,548.71	$13,486.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,927.75 / $7,231.97 / $7,231.97	Professional		$6,927.75	$7,231.97	$7,231.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $763.53 / $966.10 / $1,357.52	Facility		$763.53	$966.10	$1,357.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $687.82 / $1,022.00 / $2,127.71	Professional		$687.82	$1,022.00	$2,127.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,556.17 / $2,556.17 / $2,556.17	Professional		$2,556.17	$2,556.17	$2,556.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,599.00 / $9,655.00 / $22,073.00	Facility		$2,599.00	$9,655.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $621.27 / $848.58 / $1,898.32	Professional		$621.27	$848.58	$1,898.32