Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $6,505.00 / $17,701.00	Facility		$1,080.00	$6,505.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $568.95 / $739.64 / $1,932.74	Professional		$568.95	$739.64	$1,932.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $7,007.00 / $13,707.00	Facility		$2,675.00	$7,007.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $571.90 / $764.60 / $1,618.00	Professional		$571.90	$764.60	$1,618.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,864.42	Facility		$66.00	$100.00	$7,864.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $488.31 / $697.59 / $1,627.12	Professional		$488.31	$697.59	$1,627.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $640.15 / $868.70 / $1,768.36	Professional		$640.15	$868.70	$1,768.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $291.88 / $878.30 / $1,178.11	Professional		$291.88	$878.30	$1,178.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $654.22 / $919.05 / $1,551.72	Professional		$654.22	$919.05	$1,551.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,055.88 / $5,564.75 / $26,542.00	Facility		$3,055.88	$5,564.75	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,719.43 / $5,852.72 / $6,931.13	Professional		$4,719.43	$5,852.72	$6,931.13
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 $635.69 / $852.60 / $1,210.80	Facility		$635.69	$852.60	$1,210.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $655.67 / $911.02 / $1,807.09	Professional		$655.67	$911.02	$1,807.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,104.66 / $2,104.66 / $2,616.77	Professional		$2,104.66	$2,104.66	$2,616.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $379.45 / $625.75 / $1,090.28	Professional		$379.45	$625.75	$1,090.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,348.00 / $4,243.00 / $9,131.00	Facility		$2,348.00	$4,243.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $606.63 / $807.28 / $1,795.43	Professional		$606.63	$807.28	$1,795.43