Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.06 / $4,675.30	Facility		$0.02	$0.06	$4,675.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,077.89 / $15,031.10 / $15,031.10	Professional		$6,077.89	$15,031.10	$15,031.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $570.00 / $11,711.63	Facility		$260.00	$570.00	$11,711.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.14 / $1,543.37 / $4,132.76	Professional		$423.14	$1,543.37	$4,132.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $1,690.12 / $6,592.17	Facility		$92.60	$1,690.12	$6,592.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,063.63 / $1,519.47 / $3,819.80	Professional		$1,063.63	$1,519.47	$3,819.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,588.99 / $3,920.23 / $7,825.27	Facility		$1,588.99	$3,920.23	$7,825.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,244.71 / $2,010.71 / $4,515.33	Professional		$1,244.71	$2,010.71	$4,515.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,337.65 / $2,571.42 / $3,155.83	Professional		$2,337.65	$2,571.42	$3,155.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,103.89 / $2,688.30 / $4,558.42	Professional		$2,103.89	$2,688.30	$4,558.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,067.51 / $11,103.84 / $11,103.84	Facility		$4,067.51	$11,103.84	$11,103.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,688.25 / $11,688.25 / $17,532.38	Professional		$11,688.25	$11,688.25	$17,532.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,636.35 / $1,636.35 / $1,636.35	Professional		$1,636.35	$1,636.35	$1,636.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,870.12 / $2,922.06 / $6,717.58	Facility		$1,870.12	$2,922.06	$6,717.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,553.26 / $2,571.42 / $4,515.33	Professional		$1,553.26	$2,571.42	$4,515.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,205.15 / $8,205.15 / $8,205.15	Professional		$8,205.15	$8,205.15	$8,205.15
United Facility/Professional Professional Modifier Low / Median / High Price $981.81 / $981.81 / $4,644.43	Professional		$981.81	$981.81	$4,644.43