Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,134.00 / $6,423.00 / $17,809.00	Facility		$2,134.00	$6,423.00	$17,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.85 / $445.45 / $2,535.12	Professional		$396.85	$445.45	$2,535.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,718.00 / $9,589.00	Facility		$1,759.00	$4,718.00	$9,589.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $546.83 / $696.09 / $1,389.83	Professional		$546.83	$696.09	$1,389.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,300.60	Facility		$66.00	$100.00	$7,300.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $333.96 / $493.27 / $1,202.02	Professional		$333.96	$493.27	$1,202.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,811.56 / $3,322.76 / $7,828.13	Facility		$2,811.56	$3,322.76	$7,828.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.91 / $595.34 / $1,654.75	Professional		$437.91	$595.34	$1,654.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $343.04 / $595.99 / $804.59	Professional		$343.04	$595.99	$804.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $509.03 / $658.20 / $1,128.07	Professional		$509.03	$658.20	$1,128.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,018.19 / $12,623.50 / $16,394.00	Facility		$11,018.19	$12,623.50	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,701.76 / $3,755.44 / $4,174.43	Professional		$3,701.76	$3,755.44	$4,174.43
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 $506.31 / $646.26 / $901.90	Facility		$506.31	$646.26	$901.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $437.91 / $634.20 / $1,320.44	Professional		$437.91	$634.20	$1,320.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,573.01 / $1,573.01 / $1,573.01	Professional		$1,573.01	$1,573.01	$1,573.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $343.04 / $541.86 / $662.28	Professional		$343.04	$541.86	$662.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $7,402.00 / $16,148.00	Facility		$3,800.00	$7,402.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $366.63 / $547.04 / $1,424.32	Professional		$366.63	$547.04	$1,424.32