Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,352.50 / $8,934.00 / $20,509.00	Facility		$2,352.50	$8,934.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.36 / $440.58 / $1,944.11	Professional		$342.36	$440.58	$1,944.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $8,441.00 / $18,150.00	Facility		$1,500.00	$8,441.00	$18,150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $387.09 / $535.82 / $1,072.08	Professional		$387.09	$535.82	$1,072.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $9,665.25	Facility		$67.90	$100.00	$9,665.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $282.58 / $416.08 / $986.08	Professional		$282.58	$416.08	$986.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $2,128.87 / $5,927.32	Facility		$633.00	$2,128.87	$5,927.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.51 / $505.53 / $1,105.03	Professional		$366.51	$505.53	$1,105.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $319.43 / $456.67 / $616.50	Professional		$319.43	$456.67	$616.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $383.18 / $500.66 / $1,003.30	Professional		$383.18	$500.66	$1,003.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,311.08 / $9,558.29 / $26,542.00	Facility		$2,311.08	$9,558.29	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,566.10 / $4,720.07 / $4,720.07	Professional		$3,566.10	$4,720.07	$4,720.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $600.75	Professional		$32.34	$32.34	$600.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.14 / $517.75 / $839.95	Facility		$398.14	$517.75	$839.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $374.40 / $534.44 / $1,098.86	Professional		$374.40	$534.44	$1,098.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,314.94 / $1,314.94 / $1,314.94	Professional		$1,314.94	$1,314.94	$1,314.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,922.60 / $9,606.00 / $21,278.00	Facility		$2,922.60	$9,606.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $322.12 / $441.00 / $1,084.74	Professional		$322.12	$441.00	$1,084.74