Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,159.00 / $17,030.00	Facility		$1,919.00	$6,159.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.83 / $615.26 / $3,310.41	Professional		$512.83	$615.26	$3,310.41
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 $616.96 / $798.04 / $1,526.42	Professional		$616.96	$798.04	$1,526.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,848.26	Facility		$66.00	$100.00	$6,848.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $362.47 / $526.01 / $1,202.11	Professional		$362.47	$526.01	$1,202.11
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 $469.38 / $749.33 / $1,672.05	Professional		$469.38	$749.33	$1,672.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $750.43 / $1,013.08	Professional		$421.82	$750.43	$1,013.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $614.45 / $836.64 / $1,501.98	Professional		$614.45	$836.64	$1,501.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,388.56 / $4,754.80 / $16,394.00	Facility		$2,388.56	$4,754.80	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,852.00 / $4,852.00 / $5,500.80	Professional		$4,852.00	$4,852.00	$5,500.80
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 $579.54 / $808.15 / $1,093.08	Facility		$579.54	$808.15	$1,093.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $470.14 / $792.66 / $1,672.05	Professional		$470.14	$792.66	$1,672.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,054.03 / $2,054.03 / $2,054.03	Professional		$2,054.03	$2,054.03	$2,054.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $548.36 / $681.45 / $832.89	Professional		$548.36	$681.45	$832.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,060.00 / $9,131.00	Facility		$2,090.00	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $451.44 / $608.52 / $1,396.30	Professional		$451.44	$608.52	$1,396.30