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 $421.06 / $500.93 / $2,609.92	Professional		$421.06	$500.93	$2,609.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,362.00 / $16,106.00	Facility		$2,456.00	$7,362.00	$16,106.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $510.42 / $696.56 / $1,396.23	Professional		$510.42	$696.56	$1,396.23
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 $415.99 / $602.29 / $1,324.15	Professional		$415.99	$602.29	$1,324.15
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 $496.37 / $633.92 / $1,368.26	Professional		$496.37	$633.92	$1,368.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $295.23 / $602.79 / $813.78	Professional		$295.23	$602.79	$813.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $490.68 / $671.04 / $1,199.44	Professional		$490.68	$671.04	$1,199.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,893.32 / $19,913.50 / $26,542.00	Facility		$1,893.32	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,139.31 / $4,139.31 / $4,364.03	Professional		$4,139.31	$4,139.31	$4,364.03
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 $535.33 / $663.08 / $964.48	Facility		$535.33	$663.08	$964.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $498.37 / $682.87 / $1,338.77	Professional		$498.37	$682.87	$1,338.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,619.40 / $1,619.40 / $1,619.40	Professional		$1,619.40	$1,619.40	$1,619.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $383.80 / $530.98 / $669.15	Professional		$383.80	$530.98	$669.15
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,810.00 / $20,988.00	Facility		$5,116.00	$9,810.00	$20,988.00
United Facility/Professional Professional Modifier Low / Median / High Price $387.06 / $513.92 / $1,108.91	Professional		$387.06	$513.92	$1,108.91