Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $9,674.00 / $21,960.90	Facility		$2,421.00	$9,674.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.58 / $447.88 / $2,401.41	Professional		$381.58	$447.88	$2,401.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $11,033.00 / $21,510.00	Facility		$3,585.00	$11,033.00	$21,510.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $503.91 / $650.52 / $1,269.84	Professional		$503.91	$650.52	$1,269.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $14,871.05	Facility		$66.00	$100.00	$14,871.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $361.43 / $523.95 / $1,177.46	Professional		$361.43	$523.95	$1,177.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,101.23 / $3,106.72 / $5,554.45	Facility		$3,101.23	$3,106.72	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $451.57 / $577.72 / $1,249.59	Professional		$451.57	$577.72	$1,249.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $431.87 / $551.69 / $816.93	Professional		$431.87	$551.69	$816.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $449.51 / $621.54 / $1,098.81	Professional		$449.51	$621.54	$1,098.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,604.54 / $8,957.00 / $26,542.00	Facility		$2,604.54	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,827.26 / $3,827.26 / $4,000.35	Professional		$3,827.26	$3,827.26	$4,000.35
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 $491.74 / $610.00 / $905.94	Facility		$491.74	$610.00	$905.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $457.63 / $626.04 / $1,227.34	Professional		$457.63	$626.04	$1,227.34
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,490.01 / $1,490.01 / $1,490.01	Professional		$1,490.01	$1,490.01	$1,490.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $445.39 / $612.41 / $816.93	Professional		$445.39	$612.41	$816.93
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,713.00 / $21,278.00	Facility		$4,331.00	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $355.32 / $473.27 / $1,006.32	Professional		$355.32	$473.27	$1,006.32