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 $596.88 / $693.85 / $3,811.19	Professional		$596.88	$693.85	$3,811.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,208.00 / $10,474.00 / $21,865.69	Facility		$4,208.00	$10,474.00	$21,865.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $743.70 / $950.33 / $1,935.22	Professional		$743.70	$950.33	$1,935.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,714.18	Facility		$64.40	$100.00	$5,714.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $535.37 / $780.40 / $1,753.76	Professional		$535.37	$780.40	$1,753.76
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 $646.35 / $864.33 / $1,930.10	Professional		$646.35	$864.33	$1,930.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $765.66 / $1,060.14	Professional		$505.96	$765.66	$1,060.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $681.93 / $937.24 / $1,685.55	Professional		$681.93	$937.24	$1,685.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,547.12 / $6,666.88	Facility		$55.00	$6,547.12	$6,666.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,724.95 / $6,724.95 / $6,724.95	Professional		$6,724.95	$6,724.95	$6,724.95
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 $729.08 / $922.67 / $1,429.56	Facility		$729.08	$922.67	$1,429.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $664.52 / $915.12 / $1,909.64	Professional		$664.52	$915.12	$1,909.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,364.77 / $2,364.77 / $2,364.77	Professional		$2,364.77	$2,364.77	$2,364.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $657.74 / $770.44 / $957.08	Professional		$657.74	$770.44	$957.08
United Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $12,341.00 / $26,451.00	Facility		$5,830.00	$12,341.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $539.76 / $735.42 / $1,618.51	Professional		$539.76	$735.42	$1,618.51