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 $499.88 / $584.95 / $3,136.25	Professional		$499.88	$584.95	$3,136.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,400.00	Facility		$2,137.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $619.36 / $804.98 / $1,619.70	Professional		$619.36	$804.98	$1,619.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,615.58	Facility		$66.00	$100.00	$7,615.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $443.51 / $636.97 / $1,448.94	Professional		$443.51	$636.97	$1,448.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,926.71 / $1,930.12 / $3,450.83	Facility		$1,926.71	$1,930.12	$3,450.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.60 / $736.59 / $1,573.94	Professional		$549.60	$736.59	$1,573.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $266.94 / $714.09 / $964.02	Professional		$266.94	$714.09	$964.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $584.28 / $798.34 / $1,428.24	Professional		$584.28	$798.34	$1,428.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,269.19 / $5,564.75 / $26,542.00	Facility		$2,269.19	$5,564.75	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,386.00 / $4,470.72 / $5,226.00	Professional		$4,386.00	$4,470.72	$5,226.00
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 $541.23 / $758.64 / $1,050.64	Facility		$541.23	$758.64	$1,050.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $567.17 / $770.29 / $1,574.63	Professional		$567.17	$770.29	$1,574.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,945.98 / $1,945.98 / $1,945.98	Professional		$1,945.98	$1,945.98	$1,945.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $347.02 / $572.27 / $792.57	Professional		$347.02	$572.27	$792.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,048.00 / $4,038.00 / $9,072.00	Facility		$2,048.00	$4,038.00	$9,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $465.21 / $614.04 / $1,291.73	Professional		$465.21	$614.04	$1,291.73