Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.00 / $6,211.00 / $17,054.00	Facility		$1,539.00	$6,211.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.54 / $621.15 / $3,325.44	Professional		$531.54	$621.15	$3,325.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,977.00 / $13,707.00	Facility		$2,143.00	$5,977.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $711.75 / $898.32 / $1,785.49	Professional		$711.75	$898.32	$1,785.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,431.40	Facility		$66.00	$100.00	$7,431.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $509.80 / $736.26 / $1,647.60	Professional		$509.80	$736.26	$1,647.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $6,894.76 / $12,348.83	Facility		$1,992.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $632.13 / $802.33 / $1,730.77	Professional		$632.13	$802.33	$1,730.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $349.96 / $750.95 / $1,013.78	Professional		$349.96	$750.95	$1,013.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.01 / $839.35 / $1,505.81	Professional		$616.01	$839.35	$1,505.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,400.19 / $16,394.00 / $19,913.50	Facility		$2,400.19	$16,394.00	$19,913.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,637.04 / $4,729.04 / $5,525.63	Professional		$4,637.04	$4,729.04	$5,525.63
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 $673.06 / $839.87 / $1,206.14	Facility		$673.06	$839.87	$1,206.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $635.15 / $856.10 / $1,702.66	Professional		$635.15	$856.10	$1,702.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,063.37 / $2,063.37 / $2,063.37	Professional		$2,063.37	$2,063.37	$2,063.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $454.95 / $629.92 / $833.42	Professional		$454.95	$629.92	$833.42
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $7,384.00 / $15,471.00	Facility		$3,800.00	$7,384.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $494.10 / $658.80 / $1,409.73	Professional		$494.10	$658.80	$1,409.73