Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $5,990.00 / $17,054.00	Facility		$1,486.00	$5,990.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.13 / $600.40 / $3,230.87	Professional		$500.13	$600.40	$3,230.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,400.00	Facility		$2,137.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $604.92 / $801.48 / $1,612.68	Professional		$604.92	$801.48	$1,612.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,854.54	Facility		$66.00	$100.00	$6,854.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $497.02 / $710.03 / $1,582.09	Professional		$497.02	$710.03	$1,582.09
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 $594.29 / $775.85 / $1,672.41	Professional		$594.29	$775.85	$1,672.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $400.59 / $789.15 / $1,065.34	Professional		$400.59	$789.15	$1,065.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $628.52 / $853.53 / $1,536.37	Professional		$628.52	$853.53	$1,536.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,357.00 / $4,754.80 / $16,394.00	Facility		$2,357.00	$4,754.80	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,578.96 / $4,738.00 / $5,452.35	Professional		$4,578.96	$4,738.00	$5,452.35
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 $682.15 / $841.56 / $1,187.52	Facility		$682.15	$841.56	$1,187.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $597.14 / $841.65 / $1,668.86	Professional		$597.14	$841.65	$1,668.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,004.71 / $2,004.71 / $2,004.71	Professional		$2,004.71	$2,004.71	$2,004.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $520.77 / $707.25 / $876.58	Professional		$520.77	$707.25	$876.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,048.00 / $4,038.00 / $9,072.00	Facility		$2,048.00	$4,038.00	$9,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $462.23 / $604.16 / $1,381.74	Professional		$462.23	$604.16	$1,381.74