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 $504.38 / $592.66 / $3,171.41	Professional		$504.38	$592.66	$3,171.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,362.00 / $16,106.00	Facility		$2,456.00	$7,362.00	$16,106.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.71 / $872.46 / $1,705.31	Professional		$676.71	$872.46	$1,705.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,329.18	Facility		$66.00	$100.00	$8,329.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $480.99 / $697.73 / $1,569.23	Professional		$480.99	$697.73	$1,569.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $6,894.76 / $12,348.83	Facility		$2,277.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $594.62 / $750.27 / $1,650.11	Professional		$594.62	$750.27	$1,650.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $346.98 / $720.23 / $972.31	Professional		$346.98	$720.23	$972.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $589.61 / $802.75 / $1,441.26	Professional		$589.61	$802.75	$1,441.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,291.52 / $19,913.50 / $26,542.00	Facility		$2,291.52	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,231.39 / $5,277.83 / $5,404.02	Professional		$5,231.39	$5,277.83	$5,404.02
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 $644.41 / $793.07 / $1,145.29	Facility		$644.41	$793.07	$1,145.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $600.53 / $794.88 / $1,626.29	Professional		$600.53	$794.88	$1,626.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,967.80 / $1,967.80 / $1,967.80	Professional		$1,967.80	$1,967.80	$1,967.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $451.08 / $624.57 / $799.37	Professional		$451.08	$624.57	$799.37
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,713.00 / $21,278.00	Facility		$4,523.00	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $471.07 / $627.48 / $1,345.30	Professional		$471.07	$627.48	$1,345.30