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 $528.73 / $600.22 / $2,446.71	Professional		$528.73	$600.22	$2,446.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $628.36 / $873.39 / $1,745.22	Professional		$628.36	$873.39	$1,745.22
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 $501.30 / $720.15 / $1,595.70	Professional		$501.30	$720.15	$1,595.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,101.23 / $5,554.45	Facility		$2,277.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $625.01 / $794.04 / $1,666.59	Professional		$625.01	$794.04	$1,666.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $539.46 / $707.03 / $1,020.47	Professional		$539.46	$707.03	$1,020.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $586.50 / $801.00 / $1,433.67	Professional		$586.50	$801.00	$1,433.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,061.96 / $8,957.00 / $26,542.00	Facility		$4,061.96	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,447.20 / $4,532.47 / $5,355.90	Professional		$4,447.20	$4,532.47	$5,355.90
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 $585.51 / $782.00 / $1,075.02	Facility		$585.51	$782.00	$1,075.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $625.04 / $833.35 / $1,645.15	Professional		$625.04	$833.35	$1,645.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,993.79 / $1,993.79 / $1,993.79	Professional		$1,993.79	$1,993.79	$1,993.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $570.37 / $784.26 / $1,020.46	Professional		$570.37	$784.26	$1,020.46
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $491.82 / $651.67 / $1,359.89	Professional		$491.82	$651.67	$1,359.89