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 $507.68 / $596.53 / $3,117.78	Professional		$507.68	$596.53	$3,117.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,978.00 / $13,707.00	Facility		$2,456.00	$6,978.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $718.37 / $906.68 / $1,758.46	Professional		$718.37	$906.68	$1,758.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,919.07	Facility		$66.00	$100.00	$7,919.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $662.92 / $947.03 / $2,005.58	Professional		$662.92	$947.03	$2,005.58
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 $625.67 / $865.54 / $1,714.99	Professional		$625.67	$865.54	$1,714.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $712.97 / $962.51	Professional		$421.82	$712.97	$962.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $582.60 / $796.23 / $1,424.13	Professional		$582.60	$796.23	$1,424.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,258.96 / $4,754.80 / $26,542.00	Facility		$2,258.96	$4,754.80	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,203.50 / $5,361.75 / $5,538.69	Professional		$5,203.50	$5,361.75	$5,538.69
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 $647.33 / $855.56 / $1,207.72	Facility		$647.33	$855.56	$1,207.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $627.09 / $909.99 / $1,609.20	Professional		$627.09	$909.99	$1,609.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,934.53 / $1,934.53 / $1,934.53	Professional		$1,934.53	$1,934.53	$1,934.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $548.36 / $647.48 / $797.92	Professional		$548.36	$647.48	$797.92
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $465.92 / $650.16 / $1,322.99	Professional		$465.92	$650.16	$1,322.99