Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,857.69 / $6,159.00 / $17,030.00	Facility		$1,857.69	$6,159.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.88 / $392.03 / $1,857.69	Professional		$322.88	$392.03	$1,857.69
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 $403.76 / $646.52 / $1,147.57	Professional		$403.76	$646.52	$1,147.57
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 $279.01 / $406.35 / $897.54	Professional		$279.01	$406.35	$897.54
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 $356.32 / $486.64 / $1,018.48	Professional		$356.32	$486.64	$1,018.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $260.61 / $396.43 / $535.17	Professional		$260.61	$396.43	$535.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $324.07 / $447.20 / $801.00	Professional		$324.07	$447.20	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,870.08 / $5,246.20 / $16,394.00	Facility		$1,870.08	$5,246.20	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,232.86 / $3,232.86 / $3,232.86	Professional		$3,232.86	$3,232.86	$3,232.86
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 $372.96 / $460.02 / $666.39	Facility		$372.96	$460.02	$666.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $349.52 / $491.17 / $929.30	Professional		$349.52	$491.17	$929.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,152.67 / $1,152.67 / $1,152.67	Professional		$1,152.67	$1,152.67	$1,152.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $320.30 / $390.92 / $492.98	Professional		$320.30	$390.92	$492.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,048.00 / $4,038.00 / $9,072.00	Facility		$2,048.00	$4,038.00	$9,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $280.27 / $402.23 / $825.32	Professional		$280.27	$402.23	$825.32