Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,956.72 / $8,479.00 / $20,509.00	Facility		$1,956.72	$8,479.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $509.89 / $625.07 / $2,889.34	Professional		$509.89	$625.07	$2,889.34
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 $574.29 / $744.82 / $1,505.03	Professional		$574.29	$744.82	$1,505.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $19,707.12	Facility		$67.90	$100.00	$19,707.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $418.66 / $614.69 / $1,453.81	Professional		$418.66	$614.69	$1,453.81
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 $526.73 / $748.65 / $1,681.05	Professional		$526.73	$748.65	$1,681.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $380.86 / $673.17 / $908.78	Professional		$380.86	$673.17	$908.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $566.22 / $738.14 / $1,478.82	Professional		$566.22	$738.14	$1,478.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,425.34 / $9,558.29 / $26,542.00	Facility		$3,425.34	$9,558.29	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,724.88 / $4,724.88 / $5,285.03	Professional		$4,724.88	$4,724.88	$5,285.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $891.78	Professional		$32.34	$32.34	$891.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.59 / $763.83 / $1,197.40	Facility		$588.59	$763.83	$1,197.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $546.11 / $787.67 / $1,627.89	Professional		$546.11	$787.67	$1,627.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,945.80 / $1,945.80 / $1,945.80	Professional		$1,945.80	$1,945.80	$1,945.80
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 $476.01 / $646.13 / $1,453.87	Professional		$476.01	$646.13	$1,453.87