Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,159.00 / $17,030.00	Facility		$1,919.00	$6,159.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $526.17 / $617.44 / $3,314.54	Professional		$526.17	$617.44	$3,314.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $679.41 / $857.50 / $1,712.11	Professional		$679.41	$857.50	$1,712.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,230.50	Facility		$66.00	$100.00	$7,230.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $505.28 / $731.27 / $1,642.65	Professional		$505.28	$731.27	$1,642.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $3,101.23 / $5,554.45	Facility		$1,992.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $595.62 / $763.66 / $1,727.01	Professional		$595.62	$763.66	$1,727.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $481.38 / $750.92 / $1,013.74	Professional		$481.38	$750.92	$1,013.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $615.40 / $838.23 / $1,504.32	Professional		$615.40	$838.23	$1,504.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,993.75 / $8,957.00 / $16,394.00	Facility		$2,993.75	$8,957.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,627.52 / $4,715.43 / $5,514.60	Professional		$4,627.52	$4,715.43	$5,514.60
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 $670.22 / $832.31 / $1,201.47	Facility		$670.22	$832.31	$1,201.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $595.70 / $804.49 / $1,676.09	Professional		$595.70	$804.49	$1,676.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,056.62 / $2,056.62 / $2,056.62	Professional		$2,056.62	$2,056.62	$2,056.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $606.11 / $722.08 / $910.60	Professional		$606.11	$722.08	$910.60
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,707.00 / $20,988.00	Facility		$4,523.00	$9,707.00	$20,988.00
United Facility/Professional Professional Modifier Low / Median / High Price $495.84 / $655.39 / $1,405.50	Professional		$495.84	$655.39	$1,405.50