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 $512.45 / $601.07 / $3,222.86	Professional		$512.45	$601.07	$3,222.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,944.00 / $13,012.00	Facility		$2,137.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $629.01 / $828.90 / $1,701.20	Professional		$629.01	$828.90	$1,701.20
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 $470.82 / $682.54 / $1,534.72	Professional		$470.82	$682.54	$1,534.72
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 $577.59 / $757.25 / $1,679.53	Professional		$577.59	$757.25	$1,679.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $411.02 / $737.43 / $2,214.06	Professional		$411.02	$737.43	$2,214.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.55 / $819.82 / $1,472.92	Professional		$602.55	$819.82	$1,472.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,336.40 / $8,957.00	Facility		$55.00	$2,336.40	$8,957.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,515.68 / $4,597.92 / $5,382.98	Professional		$4,515.68	$4,597.92	$5,382.98
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 $643.38 / $793.39 / $1,089.63	Facility		$643.38	$793.39	$1,089.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $580.64 / $787.94 / $1,650.54	Professional		$580.64	$787.94	$1,650.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,999.72 / $1,999.72 / $1,999.72	Professional		$1,999.72	$1,999.72	$1,999.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $534.32 / $669.68 / $818.50	Professional		$534.32	$669.68	$818.50
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 $477.64 / $625.61 / $1,367.73	Professional		$477.64	$625.61	$1,367.73