Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,956.72 / $7,631.00 / $18,309.00	Facility		$1,956.72	$7,631.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $479.39 / $561.79 / $3,012.55	Professional		$479.39	$561.79	$3,012.55
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 $631.47 / $791.29 / $1,572.56	Professional		$631.47	$791.29	$1,572.56
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 $443.66 / $640.49 / $1,447.21	Professional		$443.66	$640.49	$1,447.21
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 $565.67 / $723.37 / $1,563.29	Professional		$565.67	$723.37	$1,563.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $295.23 / $686.54 / $926.83	Professional		$295.23	$686.54	$926.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $561.48 / $764.21 / $1,372.51	Professional		$561.48	$764.21	$1,372.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,269.16 / $8,957.00 / $26,542.00	Facility		$3,269.16	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,212.72 / $4,294.80 / $5,019.83	Professional		$4,212.72	$4,294.80	$5,019.83
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 $613.79 / $748.64 / $1,019.57	Facility		$613.79	$748.64	$1,019.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $570.07 / $763.66 / $1,531.57	Professional		$570.07	$763.66	$1,531.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,869.23 / $1,869.23 / $1,869.23	Professional		$1,869.23	$1,869.23	$1,869.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $383.80 / $554.17 / $762.00	Professional		$383.80	$554.17	$762.00
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 $454.15 / $590.32 / $1,278.07	Professional		$454.15	$590.32	$1,278.07