Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,870.00 / $19,368.00	Facility		$2,421.00	$8,870.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.94 / $580.07 / $2,229.01	Professional		$481.94	$580.07	$2,229.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,447.00 / $18,544.00	Facility		$3,028.00	$9,447.00	$18,544.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $585.07 / $794.15 / $1,592.52	Professional		$585.07	$794.15	$1,592.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,539.24	Facility		$66.00	$100.00	$11,539.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $486.82 / $704.80 / $1,522.78	Professional		$486.82	$704.80	$1,522.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $5,729.24 / $10,261.32	Facility		$3,203.00	$5,729.24	$10,261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.92 / $722.92 / $1,564.08	Professional		$549.92	$722.92	$1,564.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $353.69 / $652.22 / $880.50	Professional		$353.69	$652.22	$880.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $522.87 / $715.10 / $1,278.13	Professional		$522.87	$715.10	$1,278.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,956.80 / $16,547.20 / $26,542.00	Facility		$2,956.80	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,935.14 / $4,935.14 / $4,935.14	Professional		$4,935.14	$4,935.14	$4,935.14
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 $549.04 / $703.63 / $1,043.55	Facility		$549.04	$703.63	$1,043.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $548.70 / $749.06 / $1,507.26	Professional		$548.70	$749.06	$1,507.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,847.27 / $1,847.27 / $1,847.27	Professional		$1,847.27	$1,847.27	$1,847.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $459.79 / $592.85 / $724.59	Professional		$459.79	$592.85	$724.59
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $440.64 / $577.79 / $1,268.31	Professional		$440.64	$577.79	$1,268.31