Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,830.00 / $19,860.00	Facility		$1,992.00	$7,830.00	$19,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $523.54 / $612.59 / $3,281.02	Professional		$523.54	$612.59	$3,281.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $9,030.00 / $17,774.00	Facility		$2,776.00	$9,030.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $698.08 / $881.05 / $1,756.65	Professional		$698.08	$881.05	$1,756.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,150.11	Facility		$66.00	$100.00	$10,150.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $497.81 / $718.47 / $1,622.35	Professional		$497.81	$718.47	$1,622.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $6,894.76 / $12,348.83	Facility		$2,813.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $626.74 / $788.88 / $1,712.27	Professional		$626.74	$788.88	$1,712.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $489.57 / $746.20 / $1,007.37	Professional		$489.57	$746.20	$1,007.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $610.82 / $831.60 / $1,493.12	Professional		$610.82	$831.60	$1,493.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,560.76 / $19,913.50 / $26,542.00	Facility		$3,560.76	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,586.32 / $4,673.04 / $5,467.88	Professional		$4,586.32	$4,673.04	$5,467.88
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 $668.62 / $823.35 / $1,155.00	Facility		$668.62	$823.35	$1,155.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $626.74 / $829.40 / $1,679.30	Professional		$626.74	$829.40	$1,679.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,035.80 / $2,035.80 / $2,035.80	Professional		$2,035.80	$2,035.80	$2,035.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $602.32 / $734.36 / $926.09	Professional		$602.32	$734.36	$926.09
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,402.00 / $15,471.00	Facility		$3,523.00	$7,402.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $486.81 / $647.55 / $1,373.76	Professional		$486.81	$647.55	$1,373.76