Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,695.00 / $17,701.00	Facility		$1,820.00	$6,695.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $620.29 / $758.37 / $2,959.77	Professional		$620.29	$758.37	$2,959.77
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 $809.57 / $1,030.46 / $2,040.12	Professional		$809.57	$1,030.46	$2,040.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,393.26	Facility		$66.00	$100.00	$8,393.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $560.85 / $803.77 / $1,829.58	Professional		$560.85	$803.77	$1,829.58
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 $732.44 / $927.55 / $2,000.67	Professional		$732.44	$927.55	$2,000.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $527.17 / $865.60 / $1,168.56	Professional		$527.17	$865.60	$1,168.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $701.40 / $970.70 / $1,739.96	Professional		$701.40	$970.70	$1,739.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,172.93 / $19,913.50 / $26,542.00	Facility		$4,172.93	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,371.84 / $5,479.12 / $6,402.30	Professional		$5,371.84	$5,479.12	$6,402.30
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 $779.33 / $960.54 / $1,328.00	Facility		$779.33	$960.54	$1,328.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $737.67 / $971.62 / $1,951.47	Professional		$737.67	$971.62	$1,951.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,396.87 / $2,396.87 / $2,396.87	Professional		$2,396.87	$2,396.87	$2,396.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $685.33 / $790.77 / $997.22	Professional		$685.33	$790.77	$997.22
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,713.00 / $21,278.00	Facility		$4,523.00	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $574.29 / $751.98 / $1,757.72	Professional		$574.29	$751.98	$1,757.72