Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $5,068.00 / $16,573.00	Facility		$344.00	$5,068.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.09 / $317.61 / $3,502.64	Professional		$138.09	$317.61	$3,502.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,988.00 / $4,734.00 / $13,707.00	Facility		$1,988.00	$4,734.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.25 / $178.12 / $966.90	Professional		$121.25	$178.12	$966.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $20,221.89	Facility		$66.00	$100.00	$20,221.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $149.06 / $227.60 / $482.56	Professional		$149.06	$227.60	$482.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,088.00 / $11,494.84 / $20,587.78	Facility		$9,088.00	$11,494.84	$20,587.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.31 / $312.60 / $3,531.68	Professional		$163.31	$312.60	$3,531.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $368.76 / $2,739.48 / $3,698.30	Professional		$368.76	$2,739.48	$3,698.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.94 / $1,511.08 / $4,045.53	Professional		$331.94	$1,511.08	$4,045.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,747.25 / $3,747.25 / $15,000.00	Facility		$3,747.25	$3,747.25	$15,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,619.80 / $14,708.64 / $17,318.93	Professional		$7,619.80	$14,708.64	$17,318.93
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 $177.25 / $417.63 / $3,287.38	Facility		$177.25	$417.63	$3,287.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.41 / $375.21 / $4,149.12	Professional		$170.41	$375.21	$4,149.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,113.74 / $1,113.74 / $6,328.68	Professional		$1,113.74	$1,113.74	$6,328.68
United Facility/Professional Facility Modifier Low / Median / High Price $7,391.00 / $13,007.00 / $32,191.00	Facility		$7,391.00	$13,007.00	$32,191.00
United Facility/Professional Professional Modifier Low / Median / High Price $185.92 / $1,544.26 / $4,082.31	Professional		$185.92	$1,544.26	$4,082.31