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 $445.32 / $590.36 / $3,313.64	Professional		$445.32	$590.36	$3,313.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,978.00 / $13,707.00	Facility		$2,456.00	$6,978.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $620.76 / $808.41 / $1,564.31	Professional		$620.76	$808.41	$1,564.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,826.58	Facility		$66.00	$100.00	$7,826.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $476.01 / $690.93 / $1,552.71	Professional		$476.01	$690.93	$1,552.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,646.28 / $1,649.19 / $2,948.55	Facility		$1,646.28	$1,649.19	$2,948.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $576.86 / $770.41 / $1,683.77	Professional		$576.86	$770.41	$1,683.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $274.01 / $776.84 / $1,048.73	Professional		$274.01	$776.84	$1,048.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.79 / $856.39 / $1,541.96	Professional		$630.79	$856.39	$1,541.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,426.16 / $4,754.80 / $26,542.00	Facility		$2,426.16	$4,754.80	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,697.28 / $4,814.39 / $5,593.20	Professional		$4,697.28	$4,814.39	$5,593.20
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 $562.34 / $816.09 / $1,126.42	Facility		$562.34	$816.09	$1,126.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $591.52 / $817.87 / $1,702.37	Professional		$591.52	$817.87	$1,702.37
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,056.05 / $2,056.05 / $2,056.05	Professional		$2,056.05	$2,056.05	$2,056.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $356.22 / $587.44 / $862.42	Professional		$356.22	$587.44	$862.42
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 $471.12 / $616.08 / $1,358.80	Professional		$471.12	$616.08	$1,358.80