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 $499.59 / $584.92 / $3,136.30	Professional		$499.59	$584.92	$3,136.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,362.00 / $16,106.00	Facility		$2,456.00	$7,362.00	$16,106.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $641.85 / $833.74 / $1,639.10	Professional		$641.85	$833.74	$1,639.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,393.26	Facility		$66.00	$100.00	$8,393.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $454.73 / $659.51 / $1,484.21	Professional		$454.73	$659.51	$1,484.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $6,894.76 / $12,348.83	Facility		$2,277.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $590.61 / $748.70 / $1,629.35	Professional		$590.61	$748.70	$1,629.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $713.60 / $963.36	Professional		$337.30	$713.60	$963.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $581.90 / $794.66 / $1,427.01	Professional		$581.90	$794.66	$1,427.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,833.25 / $19,913.50 / $26,542.00	Facility		$2,833.25	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,382.16 / $4,470.47 / $5,219.39	Professional		$4,382.16	$4,470.47	$5,219.39
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 $605.28 / $773.79 / $1,060.35	Facility		$605.28	$773.79	$1,060.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $596.70 / $797.32 / $1,606.52	Professional		$596.70	$797.32	$1,606.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,946.03 / $1,946.03 / $1,946.03	Professional		$1,946.03	$1,946.03	$1,946.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $438.49 / $607.15 / $792.03	Professional		$438.49	$607.15	$792.03
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,758.00 / $21,278.00	Facility		$5,116.00	$9,758.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $466.37 / $607.59 / $1,303.77	Professional		$466.37	$607.59	$1,303.77