Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,159.00 / $17,030.00	Facility		$1,919.00	$6,159.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.20 / $551.77 / $2,953.24	Professional		$469.20	$551.77	$2,953.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $585.63 / $761.11 / $1,516.23	Professional		$585.63	$761.11	$1,516.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,230.50	Facility		$66.00	$100.00	$7,230.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $424.40 / $614.91 / $1,384.94	Professional		$424.40	$614.91	$1,384.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $4,000.28 / $7,164.69	Facility		$1,992.00	$4,000.28	$7,164.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.04 / $712.39 / $1,536.52	Professional		$546.04	$712.39	$1,536.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $280.33 / $676.52 / $913.30	Professional		$280.33	$676.52	$913.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $552.38 / $755.05 / $1,350.27	Professional		$552.38	$755.05	$1,350.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,209.40 / $11,553.65 / $16,394.00	Facility		$3,209.40	$11,553.65	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,220.39 / $4,294.39 / $4,928.47	Professional		$4,220.39	$4,294.39	$4,928.47
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 $581.40 / $726.07 / $1,023.78	Facility		$581.40	$726.07	$1,023.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $553.75 / $751.73 / $1,494.72	Professional		$553.75	$751.73	$1,494.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,832.44 / $1,832.44 / $1,832.44	Professional		$1,832.44	$1,832.44	$1,832.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $364.44 / $546.13 / $750.93	Professional		$364.44	$546.13	$750.93
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,707.00 / $20,988.00	Facility		$4,331.00	$9,707.00	$20,988.00
United Facility/Professional Professional Modifier Low / Median / High Price $437.40 / $581.25 / $1,202.64	Professional		$437.40	$581.25	$1,202.64