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 $415.00 / $490.58 / $2,627.30	Professional		$415.00	$490.58	$2,627.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $8,484.00 / $17,774.00	Facility		$2,776.00	$8,484.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $531.73 / $679.89 / $1,358.93	Professional		$531.73	$679.89	$1,358.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,677.87	Facility		$66.00	$100.00	$9,677.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $385.38 / $558.89 / $1,255.97	Professional		$385.38	$558.89	$1,255.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $3,101.23 / $5,554.45	Facility		$2,813.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.96 / $634.92 / $1,370.04	Professional		$486.96	$634.92	$1,370.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $608.87 / $669.76 / $1,169.06	Professional		$608.87	$669.76	$1,169.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $495.24 / $677.38 / $1,210.58	Professional		$495.24	$677.38	$1,210.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,863.68 / $8,957.00 / $26,542.00	Facility		$2,863.68	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,332.49 / $4,332.49 / $4,401.08	Professional		$4,332.49	$4,332.49	$4,401.08
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 $540.49 / $669.46 / $1,017.67	Facility		$540.49	$669.46	$1,017.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $495.45 / $672.38 / $1,332.85	Professional		$495.45	$672.38	$1,332.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,630.17 / $1,630.17 / $1,630.17	Professional		$1,630.17	$1,630.17	$1,630.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $535.91 / $675.91 / $1,169.06	Professional		$535.91	$675.91	$1,169.06
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,758.00 / $21,278.00	Facility		$4,523.00	$9,758.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $388.26 / $503.65 / $1,116.40	Professional		$388.26	$503.65	$1,116.40