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 $564.41 / $673.25 / $3,582.16	Professional		$564.41	$673.25	$3,582.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,977.00 / $13,707.00	Facility		$2,143.00	$5,977.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $703.74 / $925.30 / $1,863.69	Professional		$703.74	$925.30	$1,863.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,373.15	Facility		$66.00	$100.00	$7,373.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $523.51 / $759.09 / $1,705.88	Professional		$523.51	$759.09	$1,705.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $6,894.76 / $12,348.83	Facility		$1,992.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.97 / $842.36 / $1,859.14	Professional		$653.97	$842.36	$1,859.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $526.79 / $828.62 / $1,118.64	Professional		$526.79	$828.62	$1,118.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $666.83 / $917.06 / $1,649.52	Professional		$666.83	$917.06	$1,649.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,256.40 / $16,394.00 / $19,913.50	Facility		$3,256.40	$16,394.00	$19,913.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,040.00 / $5,135.04 / $6,003.90	Professional		$5,040.00	$5,135.04	$6,003.90
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 $731.07 / $908.52 / $1,325.79	Facility		$731.07	$908.52	$1,325.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $663.01 / $886.54 / $1,821.84	Professional		$663.01	$886.54	$1,821.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,222.66 / $2,222.66 / $2,222.66	Professional		$2,222.66	$2,222.66	$2,222.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $668.96 / $790.21 / $996.51	Professional		$668.96	$790.21	$996.51
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,759.00 / $21,278.00	Facility		$5,116.00	$9,759.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $529.74 / $705.50 / $1,475.39	Professional		$529.74	$705.50	$1,475.39