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 $485.23 / $565.25 / $3,035.16	Professional		$485.23	$565.25	$3,035.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,978.00 / $13,707.00	Facility		$2,456.00	$6,978.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $635.51 / $795.93 / $1,581.62	Professional		$635.51	$795.93	$1,581.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,908.14	Facility		$66.00	$100.00	$7,908.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $401.30 / $581.79 / $1,307.44	Professional		$401.30	$581.79	$1,307.44
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 $560.78 / $728.81 / $1,588.33	Professional		$560.78	$728.81	$1,588.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $521.22 / $693.81 / $985.95	Professional		$521.22	$693.81	$985.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $566.71 / $774.56 / $1,385.30	Professional		$566.71	$774.56	$1,385.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,843.35 / $4,754.80 / $26,542.00	Facility		$3,843.35	$4,754.80	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,991.29 / $4,991.29 / $5,059.43	Professional		$4,991.29	$4,991.29	$5,059.43
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 $603.65 / $756.38 / $1,174.66	Facility		$603.65	$756.38	$1,174.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $563.16 / $761.10 / $1,543.66	Professional		$563.16	$761.10	$1,543.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,883.26 / $1,883.26 / $1,883.26	Professional		$1,883.26	$1,883.26	$1,883.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $560.08 / $770.11 / $985.95	Professional		$560.08	$770.11	$985.95
United Facility/Professional Facility Modifier Low / Median / High Price $3,190.00 / $7,352.00 / $14,743.00	Facility		$3,190.00	$7,352.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $449.55 / $593.03 / $1,277.08	Professional		$449.55	$593.03	$1,277.08