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 $483.61 / $556.71 / $2,939.69	Professional		$483.61	$556.71	$2,939.69
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 $579.05 / $797.95 / $1,573.67	Professional		$579.05	$797.95	$1,573.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,393.26	Facility		$66.00	$100.00	$8,393.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $471.73 / $675.62 / $1,501.58	Professional		$471.73	$675.62	$1,501.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $6,894.76 / $12,348.83	Facility		$2,277.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $561.53 / $718.03 / $1,540.44	Professional		$561.53	$718.03	$1,540.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $295.23 / $675.94 / $912.52	Professional		$295.23	$675.94	$912.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $551.37 / $753.75 / $1,347.79	Professional		$551.37	$753.75	$1,347.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,133.32 / $19,913.50 / $26,542.00	Facility		$2,133.32	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,139.31 / $4,201.52 / $4,916.33	Professional		$4,139.31	$4,201.52	$4,916.33
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 $599.76 / $762.98 / $1,026.38	Facility		$599.76	$762.98	$1,026.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $574.26 / $767.65 / $1,504.99	Professional		$574.26	$767.65	$1,504.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,824.03 / $1,824.03 / $1,824.03	Professional		$1,824.03	$1,824.03	$1,824.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $383.80 / $545.66 / $750.29	Professional		$383.80	$545.66	$750.29
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,759.00 / $21,278.00	Facility		$5,116.00	$9,759.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $436.32 / $580.32 / $1,230.49	Professional		$436.32	$580.32	$1,230.49