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 $548.59 / $624.79 / $3,818.27	Professional		$548.59	$624.79	$3,818.27
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 $751.89 / $992.80 / $1,921.56	Professional		$751.89	$992.80	$1,921.56
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 $655.40 / $953.13 / $2,086.21	Professional		$655.40	$953.13	$2,086.21
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 $689.91 / $930.33 / $1,986.49	Professional		$689.91	$930.33	$1,986.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $359.64 / $864.56 / $1,167.16	Professional		$359.64	$864.56	$1,167.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $698.82 / $955.66 / $1,732.32	Professional		$698.82	$955.66	$1,732.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,758.56 / $8,957.00 / $26,542.00	Facility		$2,758.56	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,633.52 / $5,819.43 / $6,350.70	Professional		$5,633.52	$5,819.43	$6,350.70
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 $769.50 / $954.57 / $1,327.19	Facility		$769.50	$954.57	$1,327.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $694.54 / $984.46 / $1,924.17	Professional		$694.54	$984.46	$1,924.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,369.16 / $2,369.16 / $2,369.16	Professional		$2,369.16	$2,369.16	$2,369.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $467.53 / $697.85 / $959.54	Professional		$467.53	$697.85	$959.54
United Facility/Professional Facility Modifier Low / Median / High Price $6,258.00 / $11,302.00 / $24,268.00	Facility		$6,258.00	$11,302.00	$24,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $546.00 / $735.00 / $1,618.86	Professional		$546.00	$735.00	$1,618.86