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 $558.37 / $635.54 / $3,522.20	Professional		$558.37	$635.54	$3,522.20
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 $720.12 / $938.52 / $1,814.70	Professional		$720.12	$938.52	$1,814.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,343.54	Facility		$66.00	$100.00	$8,343.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $546.22 / $789.61 / $1,745.55	Professional		$546.22	$789.61	$1,745.55
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 $651.79 / $832.01 / $1,830.31	Professional		$651.79	$832.01	$1,830.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $295.23 / $797.03 / $1,075.99	Professional		$295.23	$797.03	$1,075.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $644.10 / $889.59 / $1,596.47	Professional		$644.10	$889.59	$1,596.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,176.15 / $8,957.00 / $26,542.00	Facility		$3,176.15	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,271.98 / $5,271.98 / $5,848.95	Professional		$5,271.98	$5,271.98	$5,848.95
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 $713.75 / $879.72 / $1,286.69	Facility		$713.75	$879.72	$1,286.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $663.66 / $877.76 / $1,802.39	Professional		$663.66	$877.76	$1,802.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,185.44 / $2,185.44 / $2,185.44	Professional		$2,185.44	$2,185.44	$2,185.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $383.80 / $632.92 / $884.60	Professional		$383.80	$632.92	$884.60
United Facility/Professional Facility Modifier Low / Median / High Price $5,416.00 / $12,313.00 / $26,451.00	Facility		$5,416.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $503.62 / $677.25 / $1,486.79	Professional		$503.62	$677.25	$1,486.79