Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,310.00 / $16,713.00	Facility		$1,208.95	$5,310.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $603.28 / $704.48 / $3,770.11	Professional		$603.28	$704.48	$3,770.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,720.00 / $10,404.00	Facility		$1,723.00	$4,720.00	$10,404.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.11 / $1,036.84 / $2,041.73	Professional		$776.11	$1,036.84	$2,041.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,663.33	Facility		$66.00	$100.00	$5,663.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $570.98 / $826.97 / $1,866.96	Professional		$570.98	$826.97	$1,866.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $3,101.23 / $5,554.45	Facility		$1,487.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $709.23 / $901.62 / $1,958.11	Professional		$709.23	$901.62	$1,958.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $388.68 / $846.23 / $1,142.41	Professional		$388.68	$846.23	$1,142.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $685.25 / $948.12 / $1,699.83	Professional		$685.25	$948.12	$1,699.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,751.67 / $8,957.00 / $12,000.00	Facility		$4,751.67	$8,957.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,256.07 / $5,349.76 / $6,248.55	Professional		$5,256.07	$5,349.76	$6,248.55
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 $712.95 / $927.18 / $1,366.00	Facility		$712.95	$927.18	$1,366.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $709.70 / $939.08 / $1,926.38	Professional		$709.70	$939.08	$1,926.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,339.29 / $2,339.29 / $2,339.29	Professional		$2,339.29	$2,339.29	$2,339.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $505.29 / $699.63 / $939.13	Professional		$505.29	$699.63	$939.13
United Facility/Professional Facility Modifier Low / Median / High Price $4,980.00 / $9,465.00 / $20,217.00	Facility		$4,980.00	$9,465.00	$20,217.00
United Facility/Professional Professional Modifier Low / Median / High Price $560.79 / $747.72 / $1,597.49	Professional		$560.79	$747.72	$1,597.49