Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,159.00 / $17,030.00	Facility		$1,919.00	$6,159.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.85 / $559.34 / $3,072.06	Professional		$473.85	$559.34	$3,072.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,978.00 / $13,707.00	Facility		$2,456.00	$6,978.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $659.47 / $863.88 / $1,639.03	Professional		$659.47	$863.88	$1,639.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,122.07	Facility		$66.00	$100.00	$5,122.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $397.46 / $571.90 / $1,306.92	Professional		$397.46	$571.90	$1,306.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $1,816.42 / $3,253.30	Facility		$1,487.00	$1,816.42	$3,253.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.54 / $714.50 / $1,574.15	Professional		$528.54	$714.50	$1,574.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $462.02 / $675.13 / $911.43	Professional		$462.02	$675.13	$911.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $554.22 / $759.00 / $1,354.76	Professional		$554.22	$759.00	$1,354.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,680.60 / $5,246.20	Facility		$55.00	$2,680.60	$5,246.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,579.65 / $6,579.65 / $6,579.65	Professional		$6,579.65	$6,579.65	$6,579.65
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 $591.02 / $738.96 / $1,080.21	Facility		$591.02	$738.96	$1,080.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $528.54 / $738.49 / $1,523.86	Professional		$528.54	$738.49	$1,523.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,906.15 / $1,906.15 / $1,906.15	Professional		$1,906.15	$1,906.15	$1,906.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $545.38 / $693.04 / $873.97	Professional		$545.38	$693.04	$873.97
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $447.18 / $573.58 / $1,286.00	Professional		$447.18	$573.58	$1,286.00