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 $575.54 / $699.09 / $3,591.38	Professional		$575.54	$699.09	$3,591.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,822.00 / $11,033.00 / $21,510.00	Facility		$2,822.00	$11,033.00	$21,510.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $789.36 / $1,018.83 / $1,953.22	Professional		$789.36	$1,018.83	$1,953.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,300.60	Facility		$66.00	$100.00	$7,300.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $696.78 / $999.29 / $2,143.00	Professional		$696.78	$999.29	$2,143.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $708.08 / $957.54 / $1,890.35	Professional		$708.08	$957.54	$1,890.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $385.33 / $583.12 / $1,009.64	Professional		$385.33	$583.12	$1,009.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $653.85 / $904.49 / $1,621.91	Professional		$653.85	$904.49	$1,621.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,589.96 / $17,132.00	Facility		$55.00	$2,589.96	$17,132.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,361.75 / $5,538.69 / $5,961.83	Professional		$5,361.75	$5,538.69	$5,961.83
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 $735.85 / $933.19 / $1,303.81	Facility		$735.85	$933.19	$1,303.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $711.38 / $1,002.89 / $1,843.19	Professional		$711.38	$1,002.89	$1,843.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,228.39 / $2,228.39 / $2,228.39	Professional		$2,228.39	$2,228.39	$2,228.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $500.93 / $693.59 / $896.37	Professional		$500.93	$693.59	$896.37
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $548.69 / $740.05 / $1,626.53	Professional		$548.69	$740.05	$1,626.53