Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,648.00 / $18,309.00	Facility		$1,992.00	$7,648.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.82 / $718.61 / $3,491.98	Professional		$627.82	$718.61	$3,491.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $8,592.00 / $17,774.00	Facility		$2,776.00	$8,592.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $633.52 / $1,001.48 / $1,907.83	Professional		$633.52	$1,001.48	$1,907.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,150.11	Facility		$66.00	$100.00	$10,150.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $663.65 / $958.76 / $2,075.89	Professional		$663.65	$958.76	$2,075.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $5,729.24 / $10,261.32	Facility		$2,813.00	$5,729.24	$10,261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $694.54 / $940.71 / $1,985.67	Professional		$694.54	$940.71	$1,985.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $482.13 / $826.70 / $1,116.05	Professional		$482.13	$826.70	$1,116.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $653.23 / $892.93 / $1,614.67	Professional		$653.23	$892.93	$1,614.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,720.00 / $16,547.20 / $26,542.00	Facility		$3,720.00	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,007.80 / $5,007.80 / $5,692.80	Professional		$5,007.80	$5,007.80	$5,692.80
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 $679.57 / $887.77 / $1,351.31	Facility		$679.57	$887.77	$1,351.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $679.69 / $980.44 / $1,819.58	Professional		$679.69	$980.44	$1,819.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,166.69 / $2,166.69 / $2,166.69	Professional		$2,166.69	$2,166.69	$2,166.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $626.77 / $751.49 / $918.49	Professional		$626.77	$751.49	$918.49
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 $524.72 / $736.13 / $1,486.58	Professional		$524.72	$736.13	$1,486.58