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 $519.63 / $624.19 / $3,331.17	Professional		$519.63	$624.19	$3,331.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,140.00 / $14,981.00	Facility		$2,456.00	$7,140.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $659.02 / $886.89 / $1,805.78	Professional		$659.02	$886.89	$1,805.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,393.26	Facility		$66.00	$100.00	$8,393.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $504.39 / $730.01 / $1,632.29	Professional		$504.39	$730.01	$1,632.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $5,729.24 / $10,261.32	Facility		$2,277.00	$5,729.24	$10,261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $604.23 / $781.83 / $1,721.67	Professional		$604.23	$781.83	$1,721.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $716.70 / $967.55	Professional		$421.82	$716.70	$967.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $586.07 / $801.00 / $1,432.62	Professional		$586.07	$801.00	$1,432.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,397.92 / $16,547.20 / $26,542.00	Facility		$3,397.92	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,589.56 / $6,589.56 / $6,589.56	Professional		$6,589.56	$6,589.56	$6,589.56
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 $641.64 / $814.79 / $1,264.19	Facility		$641.64	$814.79	$1,264.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $604.62 / $812.75 / $1,635.49	Professional		$604.62	$812.75	$1,635.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,066.92 / $2,066.92 / $2,066.92	Professional		$2,066.92	$2,066.92	$2,066.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $548.36 / $651.13 / $797.92	Professional		$548.36	$651.13	$797.92
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,313.00 / $26,451.00	Facility		$5,799.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $486.54 / $648.72 / $1,463.65	Professional		$486.54	$648.72	$1,463.65