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 $577.77 / $667.77 / $3,435.10	Professional		$577.77	$667.77	$3,435.10
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 $762.21 / $962.01 / $1,859.30	Professional		$762.21	$962.01	$1,859.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,336.71	Facility		$66.00	$100.00	$6,336.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $524.23 / $758.72 / $1,699.33	Professional		$524.23	$758.72	$1,699.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.38 / $851.36 / $1,857.76	Professional		$663.38	$851.36	$1,857.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $765.66 / $1,011.31	Professional		$505.96	$765.66	$1,011.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $654.67 / $905.65 / $1,623.00	Professional		$654.67	$905.65	$1,623.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $5,170.16 / $13,960.05	Facility		$2,000.00	$5,170.16	$13,960.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,008.36 / $6,008.36 / $6,008.36	Professional		$6,008.36	$6,008.36	$6,008.36
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 $727.17 / $896.92 / $1,379.88	Facility		$727.17	$896.92	$1,379.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $664.11 / $893.15 / $1,826.72	Professional		$664.11	$893.15	$1,826.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,131.40 / $2,131.40 / $2,131.40	Professional		$2,131.40	$2,131.40	$2,131.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $653.11 / $758.93 / $957.08	Professional		$653.11	$758.93	$957.08
United Facility/Professional Facility Modifier Low / Median / High Price $6,142.00 / $12,377.00 / $26,451.00	Facility		$6,142.00	$12,377.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $524.44 / $684.81 / $1,546.02	Professional		$524.44	$684.81	$1,546.02