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 $520.34 / $608.32 / $3,261.95	Professional		$520.34	$608.32	$3,261.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $687.34 / $854.76 / $1,701.72	Professional		$687.34	$854.76	$1,701.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,138.75	Facility		$66.00	$100.00	$8,138.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $459.56 / $662.36 / $1,502.38	Professional		$459.56	$662.36	$1,502.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,101.23 / $5,554.45	Facility		$2,277.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.39 / $770.92 / $1,696.43	Professional		$593.39	$770.92	$1,696.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $742.43 / $1,002.28	Professional		$421.82	$742.43	$1,002.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $607.54 / $827.09 / $1,485.13	Professional		$607.54	$827.09	$1,485.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,950.20 / $8,957.00 / $26,542.00	Facility		$2,950.20	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,561.12 / $4,648.39 / $5,435.85	Professional		$4,561.12	$4,648.39	$5,435.85
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 $658.77 / $818.43 / $1,102.38	Facility		$658.77	$818.43	$1,102.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $593.39 / $812.11 / $1,650.09	Professional		$593.39	$812.11	$1,650.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,023.99 / $2,023.99 / $2,023.99	Professional		$2,023.99	$2,023.99	$2,023.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $548.36 / $674.19 / $824.01	Professional		$548.36	$674.19	$824.01
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,707.00 / $20,988.00	Facility		$4,331.00	$9,707.00	$20,988.00
United Facility/Professional Professional Modifier Low / Median / High Price $483.84 / $627.21 / $1,353.14	Professional		$483.84	$627.21	$1,353.14