Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,310.00 / $16,713.00	Facility		$1,208.95	$5,310.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.73 / $723.84 / $3,710.05	Professional		$636.73	$723.84	$3,710.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,537.00 / $14,312.00 / $29,023.00	Facility		$3,537.00	$14,312.00	$29,023.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $908.13 / $1,170.55 / $2,176.96	Professional		$908.13	$1,170.55	$2,176.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $541.91 / $774.16 / $1,753.00	Professional		$541.91	$774.16	$1,753.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $718.82 / $925.69 / $1,993.43	Professional		$718.82	$925.69	$1,993.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $607.22 / $812.40 / $1,015.50	Professional		$607.22	$812.40	$1,015.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $687.58 / $934.05 / $1,692.99	Professional		$687.58	$934.05	$1,692.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,670.81 / $2,000.00 / $3,628.91	Facility		$1,670.81	$2,000.00	$3,628.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,344.32 / $5,464.40 / $6,378.98	Professional		$5,344.32	$5,464.40	$6,378.98
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 $740.95 / $916.78 / $1,257.38	Facility		$740.95	$916.78	$1,257.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $722.21 / $964.26 / $1,944.82	Professional		$722.21	$964.26	$1,944.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,302.01 / $2,302.01 / $2,302.01	Professional		$2,302.01	$2,302.01	$2,302.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $655.09 / $789.39 / $1,032.28	Professional		$655.09	$789.39	$1,032.28
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $575.12 / $780.52 / $1,553.60	Professional		$575.12	$780.52	$1,553.60