Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,648.00 / $18,309.00	Facility		$1,992.00	$7,648.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.05 / $400.43 / $2,061.21	Professional		$334.05	$400.43	$2,061.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $8,484.00 / $16,676.00	Facility		$2,675.00	$8,484.00	$16,676.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $437.15 / $581.00 / $1,117.20	Professional		$437.15	$581.00	$1,117.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,416.95	Facility		$66.00	$100.00	$9,416.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $309.35 / $447.71 / $1,012.93	Professional		$309.35	$447.71	$1,012.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,926.71 / $1,930.12 / $3,450.83	Facility		$1,926.71	$1,930.12	$3,450.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.74 / $508.10 / $1,090.18	Professional		$395.74	$508.10	$1,090.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $181.68 / $474.86 / $641.05	Professional		$181.68	$474.86	$641.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $387.25 / $534.74 / $946.62	Professional		$387.25	$534.74	$946.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,864.60 / $5,564.75 / $26,542.00	Facility		$1,864.60	$5,564.75	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,926.72 / $2,999.60 / $3,405.45	Professional		$2,926.72	$2,999.60	$3,405.45
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 $376.64 / $509.55 / $701.89	Facility		$376.64	$509.55	$701.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $403.00 / $529.60 / $1,055.31	Professional		$403.00	$529.60	$1,055.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,278.95 / $1,278.95 / $1,278.95	Professional		$1,278.95	$1,278.95	$1,278.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $236.19 / $383.51 / $527.33	Professional		$236.19	$383.51	$527.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,048.00 / $4,038.00 / $9,072.00	Facility		$2,048.00	$4,038.00	$9,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $305.91 / $419.18 / $871.44	Professional		$305.91	$419.18	$871.44