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 $568.16 / $663.77 / $3,408.56	Professional		$568.16	$663.77	$3,408.56
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 $834.42 / $1,074.70 / $1,996.91	Professional		$834.42	$1,074.70	$1,996.91
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 $497.16 / $710.23 / $1,608.51	Professional		$497.16	$710.23	$1,608.51
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 $659.48 / $849.21 / $1,829.02	Professional		$659.48	$849.21	$1,829.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $556.96 / $745.27 / $931.59	Professional		$556.96	$745.27	$931.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.67 / $856.80 / $1,552.75	Professional		$630.67	$856.80	$1,552.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,532.80 / $2,000.00 / $3,328.61	Facility		$1,532.80	$2,000.00	$3,328.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,902.56 / $5,012.24 / $5,848.88	Professional		$4,902.56	$5,012.24	$5,848.88
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 $679.69 / $840.91 / $1,153.43	Facility		$679.69	$840.91	$1,153.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $662.61 / $884.60 / $1,785.80	Professional		$662.61	$884.60	$1,785.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,114.94 / $2,114.94 / $2,114.94	Professional		$2,114.94	$2,114.94	$2,114.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $600.97 / $724.05 / $946.83	Professional		$600.97	$724.05	$946.83
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 $511.92 / $720.48 / $1,427.52	Professional		$511.92	$720.48	$1,427.52