Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,648.00 / $18,309.00	Facility		$1,992.00	$7,648.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $571.37 / $679.30 / $3,501.54	Professional		$571.37	$679.30	$3,501.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $8,484.00 / $17,774.00	Facility		$2,776.00	$8,484.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $806.51 / $1,017.92 / $1,953.54	Professional		$806.51	$1,017.92	$1,953.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,686.74	Facility		$66.00	$100.00	$9,686.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $620.00 / $885.71 / $1,933.08	Professional		$620.00	$885.71	$1,933.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $3,101.23 / $5,554.45	Facility		$2,813.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $694.66 / $970.08 / $1,890.83	Professional		$694.66	$970.08	$1,890.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $400.22 / $794.47 / $1,072.53	Professional		$400.22	$794.47	$1,072.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $641.27 / $884.83 / $1,588.03	Professional		$641.27	$884.83	$1,588.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,517.64 / $8,957.00 / $26,542.00	Facility		$2,517.64	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,780.40 / $5,932.82 / $6,128.61	Professional		$5,780.40	$5,932.82	$6,128.61
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 $714.81 / $903.06 / $1,313.02	Facility		$714.81	$903.06	$1,313.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $697.73 / $1,008.35 / $1,804.82	Professional		$697.73	$1,008.35	$1,804.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,172.65 / $2,172.65 / $2,172.65	Professional		$2,172.65	$2,172.65	$2,172.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $520.29 / $706.60 / $881.94	Professional		$520.29	$706.60	$881.94
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,713.00 / $21,278.00	Facility		$4,331.00	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $532.28 / $726.84 / $1,480.04	Professional		$532.28	$726.84	$1,480.04