Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,782.00 / $19,368.00	Facility		$2,421.00	$8,782.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $580.83 / $662.84 / $2,731.53	Professional		$580.83	$662.84	$2,731.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,644.00 / $18,544.00	Facility		$3,028.00	$9,644.00	$18,544.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $732.15 / $957.41 / $1,908.58	Professional		$732.15	$957.41	$1,908.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,539.24	Facility		$66.00	$100.00	$11,539.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $533.75 / $769.09 / $1,738.57	Professional		$533.75	$769.09	$1,738.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $6,894.76 / $12,348.83	Facility		$3,203.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.72 / $854.05 / $1,851.24	Professional		$679.72	$854.05	$1,851.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $527.17 / $803.45 / $1,084.66	Professional		$527.17	$803.45	$1,084.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $658.35 / $898.33 / $1,611.57	Professional		$658.35	$898.33	$1,611.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,855.00 / $21,551.95 / $26,542.00	Facility		$3,855.00	$21,551.95	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,962.56 / $5,054.08 / $5,917.88	Professional		$4,962.56	$5,054.08	$5,917.88
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 $721.91 / $898.33 / $1,261.55	Facility		$721.91	$898.33	$1,261.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $679.72 / $915.01 / $1,818.56	Professional		$679.72	$915.01	$1,818.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,206.92 / $2,206.92 / $2,206.92	Professional		$2,206.92	$2,206.92	$2,206.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $648.49 / $790.77 / $997.22	Professional		$648.49	$790.77	$997.22
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,758.00 / $21,278.00	Facility		$5,116.00	$9,758.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $528.83 / $704.52 / $1,507.72	Professional		$528.83	$704.52	$1,507.72