Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,870.00 / $19,368.00	Facility		$2,421.00	$8,870.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.79 / $640.21 / $3,761.59	Professional		$529.79	$640.21	$3,761.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $11,098.00 / $23,642.59	Facility		$4,314.00	$11,098.00	$23,642.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $720.07 / $901.83 / $1,814.59	Professional		$720.07	$901.83	$1,814.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,321.49	Facility		$64.40	$100.00	$5,321.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $544.01 / $777.16 / $1,754.73	Professional		$544.01	$777.16	$1,754.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $674.89 / $882.45 / $1,953.97	Professional		$674.89	$882.45	$1,953.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $297.83 / $450.72 / $1,055.90	Professional		$297.83	$450.72	$1,055.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $684.01 / $946.37 / $1,747.83	Professional		$684.01	$946.37	$1,747.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,821.48 / $5,937.26	Facility		$55.00	$5,821.48	$5,937.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,234.72 / $5,338.00 / $6,237.98	Professional		$5,234.72	$5,338.00	$6,237.98
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 $721.07 / $911.60 / $1,233.15	Facility		$721.07	$911.60	$1,233.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $684.34 / $942.97 / $1,904.14	Professional		$684.34	$942.97	$1,904.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,333.98 / $2,333.98 / $2,333.98	Professional		$2,333.98	$2,333.98	$2,333.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $387.19 / $638.52 / $937.44	Professional		$387.19	$638.52	$937.44
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 $538.72 / $725.20 / $1,593.87	Professional		$538.72	$725.20	$1,593.87