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 $535.14 / $645.78 / $3,315.09	Professional		$535.14	$645.78	$3,315.09
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 $755.25 / $953.23 / $1,831.62	Professional		$755.25	$953.23	$1,831.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,521.05	Facility		$66.00	$100.00	$7,521.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $581.75 / $831.07 / $1,819.71	Professional		$581.75	$831.07	$1,819.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $6,894.76 / $12,348.83	Facility		$1,992.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $652.61 / $911.11 / $1,800.89	Professional		$652.61	$911.11	$1,800.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $395.01 / $760.96 / $1,027.30	Professional		$395.01	$760.96	$1,027.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $620.96 / $844.51 / $1,517.89	Professional		$620.96	$844.51	$1,517.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,403.28 / $16,394.00 / $19,913.50	Facility		$2,403.28	$16,394.00	$19,913.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,321.36 / $5,496.96 / $5,536.58	Professional		$5,321.36	$5,496.96	$5,536.58
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 $680.19 / $868.63 / $1,240.50	Facility		$680.19	$868.63	$1,240.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $660.60 / $949.08 / $1,710.77	Professional		$660.60	$949.08	$1,710.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,056.94 / $2,056.94 / $2,056.94	Professional		$2,056.94	$2,056.94	$2,056.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $513.51 / $691.09 / $844.67	Professional		$513.51	$691.09	$844.67
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,713.00 / $21,278.00	Facility		$4,523.00	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $497.84 / $691.22 / $1,473.20	Professional		$497.84	$691.22	$1,473.20