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 $533.94 / $673.84 / $4,320.00	Professional		$533.94	$673.84	$4,320.00
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 $743.02 / $973.86 / $1,872.41	Professional		$743.02	$973.86	$1,872.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,521.05	Facility		$66.00	$100.00	$7,521.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $552.24 / $801.26 / $1,800.65	Professional		$552.24	$801.26	$1,800.65
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 $618.52 / $917.98 / $2,049.42	Professional		$618.52	$917.98	$2,049.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $580.41 / $1,127.19 / $1,521.71	Professional		$580.41	$1,127.19	$1,521.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $872.49 / $1,215.07 / $2,145.30	Professional		$872.49	$1,215.07	$2,145.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,931.31 / $16,394.00 / $19,913.50	Facility		$5,931.31	$16,394.00	$19,913.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,584.16 / $6,822.32 / $7,833.90	Professional		$6,584.16	$6,822.32	$7,833.90
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 $839.36 / $1,140.42 / $1,617.15	Facility		$839.36	$1,140.42	$1,617.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $633.25 / $977.97 / $2,177.07	Professional		$633.25	$977.97	$2,177.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,680.49 / $2,680.49 / $2,680.49	Professional		$2,680.49	$2,680.49	$2,680.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $754.54 / $1,024.33 / $1,251.98	Professional		$754.54	$1,024.33	$1,251.98
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,758.00 / $21,278.00	Facility		$5,116.00	$9,758.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $567.59 / $766.04 / $1,843.04	Professional		$567.59	$766.04	$1,843.04