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 $599.54 / $705.65 / $3,778.08	Professional		$599.54	$705.65	$3,778.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,883.00 / $11,400.00	Facility		$2,143.00	$5,883.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $744.61 / $969.32 / $1,972.59	Professional		$744.61	$969.32	$1,972.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,979.19	Facility		$66.00	$100.00	$6,979.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $527.29 / $764.06 / $1,717.05	Professional		$527.29	$764.06	$1,717.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,646.28 / $1,649.19 / $2,948.55	Facility		$1,646.28	$1,649.19	$2,948.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $705.45 / $898.23 / $1,973.01	Professional		$705.45	$898.23	$1,973.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $319.06 / $865.35 / $1,168.22	Professional		$319.06	$865.35	$1,168.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $697.14 / $959.79 / $1,725.46	Professional		$697.14	$959.79	$1,725.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,731.08 / $4,754.80 / $16,394.00	Facility		$2,731.08	$4,754.80	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,280.00 / $5,378.24 / $6,294.15	Professional		$5,280.00	$5,378.24	$6,294.15
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 $731.00 / $926.35 / $1,266.15	Facility		$731.00	$926.35	$1,266.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $706.07 / $941.08 / $1,914.82	Professional		$706.07	$941.08	$1,914.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,344.21 / $2,344.21 / $2,344.21	Professional		$2,344.21	$2,344.21	$2,344.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $414.78 / $684.01 / $960.53	Professional		$414.78	$684.01	$960.53
United Facility/Professional Facility Modifier Low / Median / High Price $3,190.00 / $7,335.00 / $14,743.00	Facility		$3,190.00	$7,335.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $559.16 / $745.57 / $1,614.96	Professional		$559.16	$745.57	$1,614.96