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 $478.56 / $565.34 / $2,931.93	Professional		$478.56	$565.34	$2,931.93
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 $606.60 / $832.84 / $1,596.68	Professional		$606.60	$832.84	$1,596.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,337.77	Facility		$66.00	$100.00	$8,337.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $521.84 / $745.49 / $1,632.32	Professional		$521.84	$745.49	$1,632.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,101.23 / $5,554.45	Facility		$2,277.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.82 / $815.25 / $1,613.62	Professional		$579.82	$815.25	$1,613.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $352.94 / $670.10 / $904.64	Professional		$352.94	$670.10	$904.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $547.52 / $748.30 / $1,338.39	Professional		$547.52	$748.30	$1,338.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,122.60 / $8,957.00 / $26,542.00	Facility		$2,122.60	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,888.88 / $5,317.68 / $5,493.16	Professional		$4,888.88	$5,317.68	$5,493.16
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 $599.91 / $766.15 / $1,131.29	Facility		$599.91	$766.15	$1,131.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $583.64 / $865.94 / $1,513.26	Professional		$583.64	$865.94	$1,513.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,819.22 / $1,819.22 / $1,819.22	Professional		$1,819.22	$1,819.22	$1,819.22
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $458.82 / $608.54 / $743.78	Professional		$458.82	$608.54	$743.78
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,707.00 / $20,988.00	Facility		$4,331.00	$9,707.00	$20,988.00
United Facility/Professional Professional Modifier Low / Median / High Price $447.12 / $615.29 / $1,244.13	Professional		$447.12	$615.29	$1,244.13