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 $562.98 / $699.86 / $3,670.21	Professional		$562.98	$699.86	$3,670.21
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 $758.40 / $962.94 / $1,937.53	Professional		$758.40	$962.94	$1,937.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,138.75	Facility		$66.00	$100.00	$8,138.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $597.37 / $855.79 / $1,884.26	Professional		$597.37	$855.79	$1,884.26
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 $701.60 / $917.21 / $1,983.09	Professional		$701.60	$917.21	$1,983.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $351.82 / $883.76 / $1,193.08	Professional		$351.82	$883.76	$1,193.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $696.36 / $950.22 / $1,721.94	Professional		$696.36	$950.22	$1,721.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,642.36 / $8,957.00 / $26,542.00	Facility		$2,642.36	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,332.96 / $5,375.57 / $6,100.28	Professional		$5,332.96	$5,375.57	$6,100.28
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 $726.25 / $944.13 / $1,318.91	Facility		$726.25	$944.13	$1,318.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $712.03 / $984.52 / $1,920.55	Professional		$712.03	$984.52	$1,920.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,277.31 / $2,277.31 / $2,277.31	Professional		$2,277.31	$2,277.31	$2,277.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $457.37 / $713.98 / $981.73	Professional		$457.37	$713.98	$981.73
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,707.00 / $20,988.00	Facility		$4,331.00	$9,707.00	$20,988.00
United Facility/Professional Professional Modifier Low / Median / High Price $540.52 / $719.73 / $1,529.57	Professional		$540.52	$719.73	$1,529.57