Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,600.17 / $6,695.00 / $17,809.00	Facility		$1,600.17	$6,695.00	$17,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.24 / $583.45 / $2,979.01	Professional		$484.24	$583.45	$2,979.01
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 $676.20 / $888.81 / $1,704.02	Professional		$676.20	$888.81	$1,704.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,343.54	Facility		$66.00	$100.00	$8,343.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $596.74 / $863.13 / $1,843.23	Professional		$596.74	$863.13	$1,843.23
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 $583.14 / $819.76 / $1,637.90	Professional		$583.14	$819.76	$1,637.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $344.01 / $737.03 / $994.99	Professional		$344.01	$737.03	$994.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.99 / $820.82 / $1,473.98	Professional		$602.99	$820.82	$1,473.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,341.60 / $8,957.00 / $26,542.00	Facility		$2,341.60	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,946.76 / $5,110.01 / $5,392.95	Professional		$4,946.76	$5,110.01	$5,392.95
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 $625.70 / $812.30 / $1,162.74	Facility		$625.70	$812.30	$1,162.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $594.87 / $859.39 / $1,627.66	Professional		$594.87	$859.39	$1,627.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,008.76 / $2,008.76 / $2,008.76	Professional		$2,008.76	$2,008.76	$2,008.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $447.21 / $619.21 / $818.04	Professional		$447.21	$619.21	$818.04
United Facility/Professional Facility Modifier Low / Median / High Price $6,258.00 / $11,350.00 / $24,889.00	Facility		$6,258.00	$11,350.00	$24,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $480.33 / $640.44 / $1,354.94	Professional		$480.33	$640.44	$1,354.94