Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $6,695.00 / $17,538.00	Facility		$2,197.85	$6,695.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $573.48 / $677.53 / $3,577.13	Professional		$573.48	$677.53	$3,577.13
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 $754.53 / $952.31 / $1,899.71	Professional		$754.53	$952.31	$1,899.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,337.77	Facility		$66.00	$100.00	$8,337.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $507.61 / $727.14 / $1,655.72	Professional		$507.61	$727.14	$1,655.72
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 $665.46 / $858.36 / $1,852.77	Professional		$665.46	$858.36	$1,852.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $597.54 / $804.78 / $1,130.33	Professional		$597.54	$804.78	$1,130.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.49 / $901.12 / $1,615.90	Professional		$660.49	$901.12	$1,615.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,225.10 / $8,957.00 / $26,542.00	Facility		$3,225.10	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,992.93 / $5,078.39 / $5,939.03	Professional		$4,992.93	$5,078.39	$5,939.03
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 $703.50 / $885.40 / $1,240.00	Facility		$703.50	$885.40	$1,240.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $674.30 / $897.50 / $1,809.66	Professional		$674.30	$897.50	$1,809.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,219.53 / $2,219.53 / $2,219.53	Professional		$2,219.53	$2,219.53	$2,219.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $649.54 / $893.12 / $1,130.32	Professional		$649.54	$893.12	$1,130.32
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,758.00 / $21,278.00	Facility		$4,523.00	$9,758.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $533.23 / $699.43 / $1,525.98	Professional		$533.23	$699.43	$1,525.98