Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,562.75 / $6,010.00 / $16,973.00	Facility		$1,562.75	$6,010.00	$16,973.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $445.12 / $546.96 / $2,086.00	Professional		$445.12	$546.96	$2,086.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $526.63 / $683.65 / $1,350.49	Professional		$526.63	$683.65	$1,350.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $6,848.26	Facility		$66.90	$100.00	$6,848.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $313.95 / $451.93 / $1,046.13	Professional		$313.95	$451.93	$1,046.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $2,360.35 / $4,227.49	Facility		$1,992.00	$2,360.35	$4,227.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.88 / $623.52 / $1,424.90	Professional		$403.88	$623.52	$1,424.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $399.11 / $612.04 / $826.25	Professional		$399.11	$612.04	$826.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $505.21 / $690.24 / $1,234.95	Professional		$505.21	$690.24	$1,234.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,973.18 / $6,817.20 / $16,394.00	Facility		$2,973.18	$6,817.20	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,836.80 / $3,922.80 / $4,549.72	Professional		$3,836.80	$3,922.80	$4,549.72
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 $496.42 / $656.23 / $896.08	Facility		$496.42	$656.23	$896.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $407.28 / $662.64 / $1,403.28	Professional		$407.28	$662.64	$1,403.28
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $3,960.00 / $3,960.00 / $3,960.00	Facility		$3,960.00	$3,960.00	$3,960.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,712.37 / $1,712.37 / $1,712.37	Professional		$1,712.37	$1,712.37	$1,712.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $493.95 / $598.66 / $754.96	Professional		$493.95	$598.66	$754.96
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $395.06 / $516.28 / $1,136.60	Professional		$395.06	$516.28	$1,136.60