Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $8,859.00 / $19,368.00	Facility		$2,387.00	$8,859.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $557.23 / $700.61 / $3,487.00	Professional		$557.23	$700.61	$3,487.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,822.00 / $9,447.00 / $18,544.00	Facility		$2,822.00	$9,447.00	$18,544.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $722.21 / $952.36 / $1,916.26	Professional		$722.21	$952.36	$1,916.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,012.46	Facility		$66.00	$100.00	$11,012.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $589.72 / $842.46 / $1,863.52	Professional		$589.72	$842.46	$1,863.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,101.23 / $3,106.72 / $5,554.45	Facility		$3,101.23	$3,106.72	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $684.86 / $908.24 / $1,945.58	Professional		$684.86	$908.24	$1,945.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $878.96 / $1,186.59	Professional		$337.30	$878.96	$1,186.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $694.45 / $949.31 / $1,718.05	Professional		$694.45	$949.31	$1,718.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,646.92 / $8,957.00 / $26,542.00	Facility		$2,646.92	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,157.76 / $5,300.56 / $6,104.18	Professional		$5,157.76	$5,300.56	$6,104.18
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 $739.86 / $937.12 / $1,288.53	Facility		$739.86	$937.12	$1,288.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $695.67 / $963.02 / $1,897.97	Professional		$695.67	$963.02	$1,897.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,282.17 / $2,282.17 / $2,282.17	Professional		$2,282.17	$2,282.17	$2,282.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $438.49 / $710.06 / $976.33	Professional		$438.49	$710.06	$976.33
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,713.00 / $21,278.00	Facility		$4,331.00	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $536.34 / $714.60 / $1,569.47	Professional		$536.34	$714.60	$1,569.47