Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,111.07 / $6,695.00 / $18,252.00	Facility		$2,111.07	$6,695.00	$18,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.77 / $414.34 / $2,111.07	Professional		$341.77	$414.34	$2,111.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,978.00 / $13,707.00	Facility		$2,456.00	$6,978.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $430.67 / $605.62 / $1,149.54	Professional		$430.67	$605.62	$1,149.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,826.58	Facility		$66.00	$100.00	$7,826.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $265.52 / $381.26 / $867.85	Professional		$265.52	$381.26	$867.85
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 $364.91 / $493.76 / $1,102.34	Professional		$364.91	$493.76	$1,102.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $253.16 / $383.11 / $654.16	Professional		$253.16	$383.11	$654.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $395.90 / $548.24 / $967.76	Professional		$395.90	$548.24	$967.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,301.60 / $5,246.20 / $26,542.00	Facility		$2,301.60	$5,246.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,232.86 / $3,232.86 / $3,532.28	Professional		$3,232.86	$3,232.86	$3,532.28
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 $410.44 / $520.61 / $754.86	Facility		$410.44	$520.61	$754.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $364.91 / $510.70 / $1,081.79	Professional		$364.91	$510.70	$1,081.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,309.88 / $1,309.88 / $1,309.88	Professional		$1,309.88	$1,309.88	$1,309.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $263.29 / $415.04 / $537.86	Professional		$263.29	$415.04	$537.86
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $313.20 / $409.95 / $895.71	Professional		$313.20	$409.95	$895.71