Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,310.00 / $16,713.00	Facility		$1,208.95	$5,310.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $509.52 / $640.57 / $3,429.83	Professional		$509.52	$640.57	$3,429.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,720.00 / $10,404.00	Facility		$1,723.00	$4,720.00	$10,404.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $661.22 / $871.08 / $1,752.71	Professional		$661.22	$871.08	$1,752.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,509.60	Facility		$66.00	$100.00	$5,509.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $566.29 / $817.23 / $1,836.55	Professional		$566.29	$817.23	$1,836.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $3,101.23 / $5,554.45	Facility		$1,487.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $633.47 / $843.34 / $1,850.73	Professional		$633.47	$843.34	$1,850.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $838.00 / $1,131.30	Professional		$337.30	$838.00	$1,131.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $659.88 / $900.26 / $1,632.09	Professional		$659.88	$900.26	$1,632.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,505.12 / $8,957.00 / $12,000.00	Facility		$2,505.12	$8,957.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,866.47 / $5,035.04 / $5,794.58	Professional		$4,866.47	$5,035.04	$5,794.58
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 $656.81 / $886.06 / $1,215.20	Facility		$656.81	$886.06	$1,215.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $639.82 / $909.41 / $1,788.66	Professional		$639.82	$909.41	$1,788.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,128.14 / $2,128.14 / $2,128.14	Professional		$2,128.14	$2,128.14	$2,128.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $438.49 / $676.96 / $930.82	Professional		$438.49	$676.96	$930.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,230.00 / $4,218.00 / $9,131.00	Facility		$2,230.00	$4,218.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $499.38 / $653.75 / $1,466.62	Professional		$499.38	$653.75	$1,466.62