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 $444.87 / $531.74 / $2,730.09	Professional		$444.87	$531.74	$2,730.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $608.44 / $796.36 / $1,579.41	Professional		$608.44	$796.36	$1,579.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,230.50	Facility		$66.00	$100.00	$7,230.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $485.86 / $694.08 / $1,519.76	Professional		$485.86	$694.08	$1,519.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $3,101.23 / $5,554.45	Facility		$1,992.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $541.27 / $763.35 / $1,505.05	Professional		$541.27	$763.35	$1,505.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $603.13 / $691.10 / $1,140.89	Professional		$603.13	$691.10	$1,140.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.27 / $700.35 / $1,252.22	Professional		$512.27	$700.35	$1,252.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $8,957.00 / $16,394.00	Facility		$1,981.00	$8,957.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,565.78 / $4,922.89 / $5,085.35	Professional		$4,565.78	$4,922.89	$5,085.35
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 $569.19 / $753.92 / $1,127.69	Facility		$569.19	$753.92	$1,127.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $545.14 / $807.26 / $1,406.99	Professional		$545.14	$807.26	$1,406.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,693.95 / $1,693.95 / $1,693.95	Professional		$1,693.95	$1,693.95	$1,693.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $554.29 / $697.38 / $1,140.89	Professional		$554.29	$697.38	$1,140.89
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,707.00 / $20,988.00	Facility		$4,523.00	$9,707.00	$20,988.00
United Facility/Professional Professional Modifier Low / Median / High Price $414.96 / $570.91 / $1,159.26	Professional		$414.96	$570.91	$1,159.26