Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,587.51 / $6,640.00 / $17,538.00	Facility		$1,587.51	$6,640.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.19 / $579.67 / $2,532.00	Professional		$481.19	$579.67	$2,532.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $626.58 / $809.75 / $1,578.98	Professional		$626.58	$809.75	$1,578.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,908.14	Facility		$66.00	$100.00	$7,908.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $438.68 / $637.73 / $1,433.14	Professional		$438.68	$637.73	$1,433.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,101.23 / $5,554.45	Facility		$2,277.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $543.27 / $698.45 / $1,541.06	Professional		$543.27	$698.45	$1,541.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $332.84 / $678.63 / $916.15	Professional		$332.84	$678.63	$916.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $554.20 / $757.54 / $1,398.33	Professional		$554.20	$757.54	$1,398.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,146.88 / $8,957.00 / $26,542.00	Facility		$2,146.88	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,944.00 / $4,957.77 / $5,121.38	Professional		$4,944.00	$4,957.77	$5,121.38
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 $602.94 / $738.94 / $1,059.98	Facility		$602.94	$738.94	$1,059.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $553.04 / $743.14 / $1,522.96	Professional		$553.04	$743.14	$1,522.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,842.40 / $1,842.40 / $1,842.40	Professional		$1,842.40	$1,842.40	$1,842.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $432.69 / $599.11 / $753.28	Professional		$432.69	$599.11	$753.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,212.00 / $4,099.00 / $9,682.00	Facility		$2,212.00	$4,099.00	$9,682.00
United Facility/Professional Professional Modifier Low / Median / High Price $439.83 / $574.35 / $1,240.95	Professional		$439.83	$574.35	$1,240.95