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 $339.09 / $440.10 / $2,271.53	Professional		$339.09	$440.10	$2,271.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,597.00 / $9,381.00	Facility		$1,787.00	$4,597.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.67 / $632.28 / $1,236.82	Professional		$467.67	$632.28	$1,236.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,919.63	Facility		$66.00	$100.00	$6,919.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $267.89 / $382.71 / $885.70	Professional		$267.89	$382.71	$885.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,816.42 / $1,819.64 / $3,253.30	Facility		$1,816.42	$1,819.64	$3,253.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.51 / $510.69 / $1,156.19	Professional		$368.51	$510.69	$1,156.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $263.58 / $532.11 / $718.35	Professional		$263.58	$532.11	$718.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $439.52 / $608.29 / $1,074.39	Professional		$439.52	$608.29	$1,074.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,619.23 / $5,246.20 / $16,394.00	Facility		$2,619.23	$5,246.20	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,239.12 / $3,302.72 / $4,114.43	Professional		$3,239.12	$3,302.72	$4,114.43
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 $428.12 / $568.29 / $805.79	Facility		$428.12	$568.29	$805.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $370.58 / $538.44 / $1,181.33	Professional		$370.58	$538.44	$1,181.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,409.44 / $1,409.44 / $1,409.44	Professional		$1,409.44	$1,409.44	$1,409.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $342.66 / $472.00 / $589.71	Professional		$342.66	$472.00	$589.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,048.00 / $4,060.00 / $9,131.00	Facility		$2,048.00	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $327.11 / $435.52 / $972.52	Professional		$327.11	$435.52	$972.52