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 $394.68 / $459.30 / $2,514.25	Professional		$394.68	$459.30	$2,514.25
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 $480.62 / $732.57 / $1,363.40	Professional		$480.62	$732.57	$1,363.40
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 $348.24 / $506.62 / $1,138.50	Professional		$348.24	$506.62	$1,138.50
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 $433.44 / $580.78 / $1,295.89	Professional		$433.44	$580.78	$1,295.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $372.30 / $552.02 / $745.23	Professional		$372.30	$552.02	$745.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.74 / $613.33 / $1,092.04	Professional		$446.74	$613.33	$1,092.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,548.50 / $5,246.20 / $16,394.00	Facility		$2,548.50	$5,246.20	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,940.10 / $4,940.10 / $4,940.10	Professional		$4,940.10	$4,940.10	$4,940.10
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 $472.38 / $602.52 / $884.05	Facility		$472.38	$602.52	$884.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $433.44 / $603.59 / $1,227.31	Professional		$433.44	$603.59	$1,227.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,560.03 / $1,560.03 / $1,560.03	Professional		$1,560.03	$1,560.03	$1,560.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $446.06 / $558.45 / $704.25	Professional		$446.06	$558.45	$704.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $364.50 / $487.21 / $1,143.83	Professional		$364.50	$487.21	$1,143.83