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 $544.91 / $635.61 / $3,405.92	Professional		$544.91	$635.61	$3,405.92
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 $725.85 / $909.07 / $1,795.47	Professional		$725.85	$909.07	$1,795.47
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 $502.37 / $727.54 / $1,641.51	Professional		$502.37	$727.54	$1,641.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $8,968.49 / $16,062.96	Facility		$2,277.00	$8,968.49	$16,062.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $638.94 / $813.74 / $1,769.56	Professional		$638.94	$813.74	$1,769.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $772.69 / $1,043.13	Professional		$421.82	$772.69	$1,043.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $633.16 / $862.36 / $1,547.72	Professional		$633.16	$862.36	$1,547.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,079.70 / $25,902.85 / $26,542.00	Facility		$3,079.70	$25,902.85	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,759.92 / $4,849.28 / $5,673.60	Professional		$4,759.92	$4,849.28	$5,673.60
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 $691.92 / $853.67 / $1,151.89	Facility		$691.92	$853.67	$1,151.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $639.14 / $848.37 / $1,744.42	Professional		$639.14	$848.37	$1,744.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,113.31 / $2,113.31 / $2,113.31	Professional		$2,113.31	$2,113.31	$2,113.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $548.36 / $701.65 / $857.57	Professional		$548.36	$701.65	$857.57
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,810.00 / $21,278.00	Facility		$5,116.00	$9,810.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $505.92 / $673.92 / $1,442.28	Professional		$505.92	$673.92	$1,442.28