Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.64 / $9,639.00 / $20,509.00	Facility		$484.64	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.45 / $510.57 / $2,683.07	Professional		$423.45	$510.57	$2,683.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,927.77 / $7,454.00 / $16,838.00	Facility		$2,927.77	$7,454.00	$16,838.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $619.76 / $779.35 / $1,490.20	Professional		$619.76	$779.35	$1,490.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $7,300.60	Facility		$63.90	$100.00	$7,300.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $337.21 / $484.55 / $1,109.08	Professional		$337.21	$484.55	$1,109.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.27 / $624.17 / $1,356.10	Professional		$463.27	$624.17	$1,356.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $521.22 / $599.40 / $792.21	Professional		$521.22	$599.40	$792.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $490.08 / $670.63 / $1,208.13	Professional		$490.08	$670.63	$1,208.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,757.43 / $4,859.84	Facility		$55.00	$4,757.43	$4,859.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,287.40 / $6,287.40 / $6,287.40	Professional		$6,287.40	$6,287.40	$6,287.40
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 $518.94 / $653.44 / $1,014.75	Facility		$518.94	$653.44	$1,014.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $463.27 / $644.30 / $1,360.85	Professional		$463.27	$644.30	$1,360.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,664.80 / $1,664.80 / $1,664.80	Professional		$1,664.80	$1,664.80	$1,664.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $521.22 / $650.64 / $985.95	Professional		$521.22	$650.64	$985.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,836.00 / $5,067.00 / $18,493.00	Facility		$1,836.00	$5,067.00	$18,493.00
United Facility/Professional Professional Modifier Low / Median / High Price $398.00 / $525.70 / $1,136.49	Professional		$398.00	$525.70	$1,136.49