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 $366.78 / $431.92 / $2,224.81	Professional		$366.78	$431.92	$2,224.81
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 $473.58 / $711.51 / $1,309.83	Professional		$473.58	$711.51	$1,309.83
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 $341.77 / $491.55 / $1,095.46	Professional		$341.77	$491.55	$1,095.46
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 $430.24 / $539.89 / $1,152.90	Professional		$430.24	$539.89	$1,152.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $210.72 / $477.43 / $644.53	Professional		$210.72	$477.43	$644.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $400.41 / $549.04 / $986.59	Professional		$400.41	$549.04	$986.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,411.82 / $5,246.20 / $16,394.00	Facility		$2,411.82	$5,246.20	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,060.24 / $3,134.72 / $3,715.28	Professional		$3,060.24	$3,134.72	$3,715.28
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 $433.51 / $541.22 / $734.50	Facility		$433.51	$541.22	$734.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $430.24 / $561.07 / $1,144.98	Professional		$430.24	$561.07	$1,144.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,380.45 / $1,380.45 / $1,380.45	Professional		$1,380.45	$1,380.45	$1,380.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $273.94 / $384.96 / $529.32	Professional		$273.94	$384.96	$529.32
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 $347.19 / $460.66 / $940.63	Professional		$347.19	$460.66	$940.63