Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.00 / $5,322.00 / $16,573.00	Facility		$1,335.00	$5,322.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.84 / $698.20 / $4,405.33	Professional		$148.84	$698.20	$4,405.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,048.00 / $13,012.00	Facility		$2,143.00	$6,048.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.74 / $3,453.04 / $7,501.57	Professional		$186.74	$3,453.04	$7,501.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $4,121.35	Facility		$66.00	$100.00	$4,121.35
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $159.91 / $631.62 / $5,768.30	Professional		$159.91	$631.62	$5,768.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,352.63 / $6,325.84 / $14,903.12	Facility		$5,352.63	$6,325.84	$14,903.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.67 / $3,097.34 / $7,610.67	Professional		$184.67	$3,097.34	$7,610.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $193.61 / $2,856.29 / $4,511.51	Professional		$193.61	$2,856.29	$4,511.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.87 / $2,425.52 / $4,992.71	Professional		$174.87	$2,425.52	$4,992.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,185.35 / $1,213.32	Facility		$55.00	$1,185.35	$1,213.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,256.24 / $18,413.57 / $21,649.50	Professional		$1,256.24	$18,413.57	$21,649.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,166.88 / $2,166.88 / $3,611.47	Professional		$2,166.88	$2,166.88	$3,611.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $197.48 / $2,358.89 / $4,561.79	Facility		$197.48	$2,358.89	$4,561.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $192.56 / $3,303.78 / $7,955.39	Professional		$192.56	$3,303.78	$7,955.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $175.81 / $2,856.29 / $4,284.43	Professional		$175.81	$2,856.29	$4,284.43
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,341.00 / $26,672.00	Facility		$5,799.00	$12,341.00	$26,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,665.61 / $3,834.27 / $11,627.20	Professional		$2,665.61	$3,834.27	$11,627.20