Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,640.00 / $17,701.00	Facility		$1,820.00	$6,640.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $567.94 / $694.74 / $3,698.80	Professional		$567.94	$694.74	$3,698.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $608.10 / $847.60 / $1,688.20	Professional		$608.10	$847.60	$1,688.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,826.58	Facility		$66.00	$100.00	$7,826.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $378.65 / $541.27 / $1,248.34	Professional		$378.65	$541.27	$1,248.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,360.35 / $4,227.49	Facility		$2,277.00	$2,360.35	$4,227.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $479.94 / $817.40 / $1,885.28	Professional		$479.94	$817.40	$1,885.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $493.67 / $816.52 / $1,102.30	Professional		$493.67	$816.52	$1,102.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $661.03 / $914.99 / $1,574.32	Professional		$661.03	$914.99	$1,574.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,915.00 / $6,817.20 / $26,542.00	Facility		$3,915.00	$6,817.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,081.04 / $5,179.35 / $5,977.58	Professional		$5,081.04	$5,179.35	$5,977.58
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 $526.26 / $858.72 / $1,183.95	Facility		$526.26	$858.72	$1,183.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $479.94 / $864.89 / $1,859.89	Professional		$479.94	$864.89	$1,859.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,295.03 / $2,295.03 / $2,295.03	Professional		$2,295.03	$2,295.03	$2,295.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $641.77 / $741.58 / $933.84	Professional		$641.77	$741.58	$933.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,212.00 / $4,243.00 / $9,072.00	Facility		$2,212.00	$4,243.00	$9,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $466.44 / $669.24 / $1,523.31	Professional		$466.44	$669.24	$1,523.31