Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,211.00 / $17,133.00	Facility		$1,919.00	$6,211.00	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.25 / $430.52 / $2,180.94	Professional		$336.25	$430.52	$2,180.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,977.00 / $14,486.00	Facility		$2,143.00	$5,977.00	$14,486.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $443.04 / $623.13 / $1,197.11	Professional		$443.04	$623.13	$1,197.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,598.12	Facility		$66.00	$100.00	$8,598.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $306.68 / $440.66 / $1,002.57	Professional		$306.68	$440.66	$1,002.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25,553.00 / $30,512.64 / $50,000.00	Facility		$25,553.00	$30,512.64	$50,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.19 / $520.00 / $1,159.78	Professional		$379.19	$520.00	$1,159.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $200.30 / $499.37 / $674.15	Professional		$200.30	$499.37	$674.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $415.51 / $577.10 / $1,020.88	Professional		$415.51	$577.10	$1,020.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,500.14 / $16,394.00 / $88,126.75	Facility		$2,500.14	$16,394.00	$88,126.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,929.78 / $8,570.73 / $8,570.73	Professional		$3,929.78	$8,570.73	$8,570.73
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 $445.13 / $554.02 / $766.69	Facility		$445.13	$554.02	$766.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $385.27 / $544.15 / $1,158.18	Professional		$385.27	$544.15	$1,158.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,353.21 / $1,353.21 / $1,353.21	Professional		$1,353.21	$1,353.21	$1,353.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $260.39 / $402.37 / $553.26	Professional		$260.39	$402.37	$553.26
United Facility/Professional Facility Modifier Low / Median / High Price $10,410.00 / $20,676.00 / $54,747.00	Facility		$10,410.00	$20,676.00	$54,747.00
United Facility/Professional Professional Modifier Low / Median / High Price $320.32 / $431.70 / $932.78	Professional		$320.32	$431.70	$932.78