Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,640.00 / $17,809.00	Facility		$1,820.00	$6,640.00	$17,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.63 / $545.16 / $3,014.39	Professional		$477.63	$545.16	$3,014.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,362.00 / $16,106.00	Facility		$2,456.00	$7,362.00	$16,106.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $615.73 / $793.24 / $1,541.88	Professional		$615.73	$793.24	$1,541.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,569.29	Facility		$66.00	$100.00	$8,569.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $438.79 / $630.86 / $1,431.54	Professional		$438.79	$630.86	$1,431.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $6,894.76 / $12,348.83	Facility		$2,277.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $557.48 / $723.53 / $1,566.06	Professional		$557.48	$723.53	$1,566.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $687.03 / $927.49	Professional		$421.82	$687.03	$927.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $561.99 / $767.89 / $1,373.75	Professional		$561.99	$767.89	$1,373.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,273.00 / $19,913.50 / $26,542.00	Facility		$3,273.00	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,216.56 / $4,297.43 / $5,026.43	Professional		$4,216.56	$4,297.43	$5,026.43
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 $615.23 / $757.37 / $1,041.61	Facility		$615.23	$757.37	$1,041.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $567.46 / $755.74 / $1,525.01	Professional		$567.46	$755.74	$1,525.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,870.38 / $1,870.38 / $1,870.38	Professional		$1,870.38	$1,870.38	$1,870.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $548.36 / $632.72 / $797.92	Professional		$548.36	$632.72	$797.92
United Facility/Professional Facility Modifier Low / Median / High Price $6,366.00 / $13,555.00 / $29,312.00	Facility		$6,366.00	$13,555.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $446.85 / $579.25 / $1,251.32	Professional		$446.85	$579.25	$1,251.32