Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,631.00 / $17,393.00	Facility		$1,820.00	$6,631.00	$17,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $465.00 / $536.54 / $3,195.67	Professional		$465.00	$536.54	$3,195.67
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 $464.11 / $611.58 / $1,265.89	Professional		$464.11	$611.58	$1,265.89
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 $371.60 / $543.21 / $1,292.92	Professional		$371.60	$543.21	$1,292.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.25 / $702.88 / $1,618.72	Professional		$516.25	$702.88	$1,618.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $414.37 / $756.79 / $908.15	Professional		$414.37	$756.79	$908.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $597.84 / $821.59 / $1,506.25	Professional		$597.84	$821.59	$1,506.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,375.12 / $11,500.00 / $26,542.00	Facility		$2,375.12	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,617.28 / $4,710.00 / $5,457.15	Professional		$4,617.28	$4,710.00	$5,457.15
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 $534.27 / $773.51 / $1,022.34	Facility		$534.27	$773.51	$1,022.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $542.05 / $719.65 / $1,608.84	Professional		$542.05	$719.65	$1,608.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,982.83 / $1,982.83 / $1,982.83	Professional		$1,982.83	$1,982.83	$1,982.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $522.54 / $687.45 / $888.34	Professional		$522.54	$687.45	$888.34
United Facility/Professional Facility Modifier Low / Median / High Price $4,035.00 / $7,473.00 / $15,471.00	Facility		$4,035.00	$7,473.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $458.19 / $611.83 / $1,766.65	Professional		$458.19	$611.83	$1,766.65