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 $612.59 / $713.74 / $3,831.81	Professional		$612.59	$713.74	$3,831.81
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 $791.51 / $1,010.68 / $2,002.85	Professional		$791.51	$1,010.68	$2,002.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,907.12	Facility		$66.00	$100.00	$9,907.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $543.10 / $783.42 / $1,775.48	Professional		$543.10	$783.42	$1,775.48
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 $688.89 / $899.35 / $1,995.55	Professional		$688.89	$899.35	$1,995.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $543.92 / $867.78 / $2,214.06	Professional		$543.92	$867.78	$2,214.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $709.53 / $968.59 / $1,738.29	Professional		$709.53	$968.59	$1,738.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,767.04 / $8,957.00	Facility		$55.00	$2,767.04	$8,957.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,347.44 / $5,449.12 / $6,370.50	Professional		$5,347.44	$5,449.12	$6,370.50
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 $721.01 / $935.05 / $1,287.73	Facility		$721.01	$935.05	$1,287.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $704.12 / $941.12 / $1,941.96	Professional		$704.12	$941.12	$1,941.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,377.57 / $2,377.57 / $2,377.57	Professional		$2,377.57	$2,377.57	$2,377.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $700.45 / $788.00 / $963.12	Professional		$700.45	$788.00	$963.12
United Facility/Professional Facility Modifier Low / Median / High Price $5,416.00 / $12,313.00 / $26,451.00	Facility		$5,416.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $568.89 / $758.52 / $1,635.56	Professional		$568.89	$758.52	$1,635.56