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 $410.68 / $468.25 / $2,415.35	Professional		$410.68	$468.25	$2,415.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,400.00	Facility		$2,137.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $529.02 / $755.80 / $1,400.09	Professional		$529.02	$755.80	$1,400.09
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 $346.12 / $495.98 / $1,122.20	Professional		$346.12	$495.98	$1,122.20
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 $440.78 / $580.92 / $1,271.68	Professional		$440.78	$580.92	$1,271.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $372.30 / $536.44 / $724.19	Professional		$372.30	$536.44	$724.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $435.55 / $598.99 / $1,064.67	Professional		$435.55	$598.99	$1,064.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,494.26 / $5,246.20 / $16,394.00	Facility		$2,494.26	$5,246.20	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,951.10 / $3,951.10 / $3,951.10	Professional		$3,951.10	$3,951.10	$3,951.10
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 $473.61 / $596.86 / $894.90	Facility		$473.61	$596.86	$894.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $435.67 / $603.16 / $1,222.65	Professional		$435.67	$603.16	$1,222.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,498.67 / $1,498.67 / $1,498.67	Professional		$1,498.67	$1,498.67	$1,498.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $433.45 / $558.45 / $704.25	Professional		$433.45	$558.45	$704.25
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 $351.00 / $488.97 / $1,025.38	Professional		$351.00	$488.97	$1,025.38