Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $8,050.00 / $20,509.00	Facility		$2,197.85	$8,050.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.97 / $618.41 / $3,183.02	Professional		$519.97	$618.41	$3,183.02
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 $590.07 / $772.62 / $1,537.13	Professional		$590.07	$772.62	$1,537.13
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 $424.19 / $613.96 / $1,453.77	Professional		$424.19	$613.96	$1,453.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $643.00 / $2,128.87 / $5,927.32	Facility		$643.00	$2,128.87	$5,927.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $531.01 / $755.77 / $1,652.55	Professional		$531.01	$755.77	$1,652.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $442.29 / $684.92 / $924.64	Professional		$442.29	$684.92	$924.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.34 / $750.24 / $1,372.01	Professional		$575.34	$750.24	$1,372.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,474.48 / $9,558.29 / $26,542.00	Facility		$3,474.48	$9,558.29	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,178.08 / $5,178.08 / $5,359.95	Professional		$5,178.08	$5,178.08	$5,359.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $904.80	Professional		$32.34	$32.34	$904.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $597.98 / $777.37 / $1,195.20	Facility		$597.98	$777.37	$1,195.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $556.95 / $792.81 / $1,652.55	Professional		$556.95	$792.81	$1,652.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,974.99 / $1,974.99 / $1,974.99	Professional		$1,974.99	$1,974.99	$1,974.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,922.60 / $9,539.00 / $21,278.00	Facility		$2,922.60	$9,539.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $483.96 / $657.55 / $1,476.12	Professional		$483.96	$657.55	$1,476.12