Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,409.12 / $9,358.00 / $20,509.00	Facility		$2,409.12	$9,358.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.25 / $469.28 / $1,856.09	Professional		$326.25	$469.28	$1,856.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $8,441.00 / $18,150.00	Facility		$1,800.00	$8,441.00	$18,150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $387.34 / $511.89 / $1,012.07	Professional		$387.34	$511.89	$1,012.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.80 / $100.00 / $10,162.50	Facility		$69.80	$100.00	$10,162.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $279.37 / $406.03 / $966.61	Professional		$279.37	$406.03	$966.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $3,763.11 / $10,698.75	Facility		$633.00	$3,763.11	$10,698.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.58 / $512.78 / $1,128.71	Professional		$355.58	$512.78	$1,128.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $260.61 / $475.00 / $641.25	Professional		$260.61	$475.00	$641.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $394.73 / $518.15 / $1,043.96	Professional		$394.73	$518.15	$1,043.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,351.94 / $17,986.75 / $26,542.00	Facility		$2,351.94	$17,986.75	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,629.78 / $7,231.97 / $7,231.97	Professional		$3,629.78	$7,231.97	$7,231.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $609.67	Professional		$32.34	$32.34	$609.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $401.79 / $526.30 / $832.10	Facility		$401.79	$526.30	$832.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $370.74 / $537.00 / $1,118.63	Professional		$370.74	$537.00	$1,118.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,333.21 / $1,333.21 / $1,333.21	Professional		$1,333.21	$1,333.21	$1,333.21
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 $323.73 / $439.30 / $1,044.16	Professional		$323.73	$439.30	$1,044.16