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 / $17,701.00	Facility		$1,820.00	$6,640.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.32 / $456.40 / $2,469.17	Professional		$376.32	$456.40	$2,469.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,978.00 / $13,707.00	Facility		$2,456.00	$6,978.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $459.93 / $600.29 / $1,159.01	Professional		$459.93	$600.29	$1,159.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,615.58	Facility		$66.00	$100.00	$7,615.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $346.15 / $502.92 / $1,130.20	Professional		$346.15	$502.92	$1,130.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,926.71 / $1,930.12 / $3,450.83	Facility		$1,926.71	$1,930.12	$3,450.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.55 / $581.86 / $1,282.51	Professional		$432.55	$581.86	$1,282.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $571.42 / $771.43	Professional		$337.30	$571.42	$771.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $464.46 / $638.07 / $1,135.34	Professional		$464.46	$638.07	$1,135.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,788.52 / $5,564.75 / $26,542.00	Facility		$1,788.52	$5,564.75	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,462.88 / $3,532.00 / $4,122.00	Professional		$3,462.88	$3,532.00	$4,122.00
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 $450.23 / $603.30 / $828.57	Facility		$450.23	$603.30	$828.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $436.24 / $609.10 / $1,251.46	Professional		$436.24	$609.10	$1,251.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,532.09 / $1,532.09 / $1,532.09	Professional		$1,532.09	$1,532.09	$1,532.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $438.49 / $519.03 / $638.04	Professional		$438.49	$519.03	$638.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,055.00 / $4,038.00 / $9,072.00	Facility		$2,055.00	$4,038.00	$9,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $364.77 / $468.70 / $1,017.00	Professional		$364.77	$468.70	$1,017.00