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 $577.71 / $677.87 / $3,601.64	Professional		$577.71	$677.87	$3,601.64
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 $774.69 / $974.50 / $1,925.22	Professional		$774.69	$974.50	$1,925.22
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 $565.63 / $821.39 / $1,805.66	Professional		$565.63	$821.39	$1,805.66
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 $687.89 / $874.72 / $1,884.22	Professional		$687.89	$874.72	$1,884.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $821.71 / $1,109.31	Professional		$337.30	$821.71	$1,109.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $663.58 / $915.80 / $1,644.32	Professional		$663.58	$915.80	$1,644.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,614.67 / $8,957.00 / $26,542.00	Facility		$2,614.67	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,050.16 / $5,145.35 / $6,023.55	Professional		$5,050.16	$5,145.35	$6,023.55
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 $735.19 / $918.44 / $1,233.24	Facility		$735.19	$918.44	$1,233.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $698.56 / $917.19 / $1,850.01	Professional		$698.56	$917.19	$1,850.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,234.76 / $2,234.76 / $2,234.76	Professional		$2,234.76	$2,234.76	$2,234.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $438.49 / $663.27 / $912.00	Professional		$438.49	$663.27	$912.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,884.00 / $9,324.00 / $20,217.00	Facility		$4,884.00	$9,324.00	$20,217.00
United Facility/Professional Professional Modifier Low / Median / High Price $545.71 / $717.20 / $1,517.54	Professional		$545.71	$717.20	$1,517.54