Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,695.00 / $17,701.00	Facility		$1,820.00	$6,695.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $509.51 / $610.97 / $3,140.64	Professional		$509.51	$610.97	$3,140.64
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 $720.31 / $905.71 / $1,768.75	Professional		$720.31	$905.71	$1,768.75
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 $676.10 / $965.86 / $2,028.77	Professional		$676.10	$965.86	$2,028.77
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 $621.36 / $865.83 / $1,726.65	Professional		$621.36	$865.83	$1,726.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $717.41 / $968.50	Professional		$421.82	$717.41	$968.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $586.30 / $801.00 / $1,433.21	Professional		$586.30	$801.00	$1,433.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,273.71 / $8,957.00 / $26,542.00	Facility		$2,273.71	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,236.95 / $5,297.48 / $5,472.30	Professional		$5,236.95	$5,297.48	$5,472.30
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 $651.46 / $860.89 / $1,215.50	Facility		$651.46	$860.89	$1,215.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $625.14 / $913.11 / $1,621.42	Professional		$625.14	$913.11	$1,621.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,948.69 / $1,948.69 / $1,948.69	Professional		$1,948.69	$1,948.69	$1,948.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $548.36 / $651.51 / $797.92	Professional		$548.36	$651.51	$797.92
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,758.00 / $21,278.00	Facility		$4,523.00	$9,758.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $476.84 / $649.60 / $1,332.65	Professional		$476.84	$649.60	$1,332.65