Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $9,490.00 / $21,861.00	Facility		$2,421.00	$9,490.00	$21,861.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $589.79 / $721.32 / $4,083.00	Professional		$589.79	$721.32	$4,083.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,977.00 / $13,012.00	Facility		$2,143.00	$5,977.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $762.74 / $983.51 / $1,983.54	Professional		$762.74	$983.51	$1,983.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,290.89	Facility		$66.00	$100.00	$15,290.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $557.76 / $810.61 / $1,821.67	Professional		$557.76	$810.61	$1,821.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,445.00 / $7,261.61 / $13,005.87	Facility		$4,445.00	$7,261.61	$13,005.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $659.80 / $892.46 / $2,019.94	Professional		$659.80	$892.46	$2,019.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $744.60 / $893.52 / $1,408.50	Professional		$744.60	$893.52	$1,408.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $723.00 / $981.15 / $1,767.33	Professional		$723.00	$981.15	$1,767.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,149.78 / $20,973.00 / $26,542.00	Facility		$4,149.78	$20,973.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,654.52 / $7,654.52 / $7,654.52	Professional		$7,654.52	$7,654.52	$7,654.52
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 $764.13 / $964.00 / $1,532.46	Facility		$764.13	$964.00	$1,532.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $673.54 / $946.74 / $1,982.69	Professional		$673.54	$946.74	$1,982.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,533.44 / $2,533.44 / $2,533.44	Professional		$2,533.44	$2,533.44	$2,533.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $744.60 / $991.67 / $1,408.50	Professional		$744.60	$991.67	$1,408.50
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $7,384.00 / $15,471.00	Facility		$3,800.00	$7,384.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $573.36 / $771.78 / $1,924.29	Professional		$573.36	$771.78	$1,924.29