Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,648.00 / $18,781.72	Facility		$1,992.00	$7,648.00	$18,781.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $522.96 / $635.22 / $2,820.00	Professional		$522.96	$635.22	$2,820.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $8,484.00 / $17,774.00	Facility		$2,776.00	$8,484.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $693.95 / $869.12 / $1,723.44	Professional		$693.95	$869.12	$1,723.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,907.12	Facility		$66.00	$100.00	$9,907.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $460.69 / $670.89 / $1,507.67	Professional		$460.69	$670.89	$1,507.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $3,101.23 / $5,554.45	Facility		$2,813.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $601.35 / $791.47 / $1,727.79	Professional		$601.35	$791.47	$1,727.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $762.28 / $1,029.08	Professional		$421.82	$762.28	$1,029.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $619.10 / $841.44 / $1,558.90	Professional		$619.10	$841.44	$1,558.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,377.16 / $8,957.00 / $26,542.00	Facility		$2,377.16	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,633.92 / $4,710.96 / $5,456.03	Professional		$4,633.92	$4,710.96	$5,456.03
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 $669.81 / $834.56 / $1,219.65	Facility		$669.81	$834.56	$1,219.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $605.82 / $836.96 / $1,669.41	Professional		$605.82	$836.96	$1,669.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,045.25 / $2,045.25 / $2,045.25	Professional		$2,045.25	$2,045.25	$2,045.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $548.36 / $692.53 / $846.43	Professional		$548.36	$692.53	$846.43
United Facility/Professional Facility Modifier Low / Median / High Price $6,366.00 / $13,555.00 / $29,312.00	Facility		$6,366.00	$13,555.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $486.27 / $641.89 / $1,374.48	Professional		$486.27	$641.89	$1,374.48