Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,159.00 / $17,030.00	Facility		$1,919.00	$6,159.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.92 / $558.08 / $2,774.36	Professional		$491.92	$558.08	$2,774.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $592.04 / $871.14 / $1,801.01	Professional		$592.04	$871.14	$1,801.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,605.62	Facility		$66.00	$100.00	$7,605.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $535.85 / $765.50 / $1,599.29	Professional		$535.85	$765.50	$1,599.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $3,101.23 / $5,554.45	Facility		$1,992.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $564.49 / $809.46 / $1,612.71	Professional		$564.49	$809.46	$1,612.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $618.51 / $983.99 / $1,861.34	Professional		$618.51	$983.99	$1,861.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $509.09 / $694.89 / $1,244.45	Professional		$509.09	$694.89	$1,244.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,486.28 / $8,957.00 / $16,394.00	Facility		$3,486.28	$8,957.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,159.39 / $6,371.67 / $6,581.94	Professional		$5,159.39	$6,371.67	$6,581.94
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 $530.52 / $735.36 / $1,268.85	Facility		$530.52	$735.36	$1,268.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $569.62 / $903.25 / $1,485.22	Professional		$569.62	$903.25	$1,485.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,721.43 / $1,721.43 / $1,721.43	Professional		$1,721.43	$1,721.43	$1,721.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $550.76 / $983.99 / $1,861.33	Professional		$550.76	$983.99	$1,861.33
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 $426.16 / $611.29 / $1,180.99	Professional		$426.16	$611.29	$1,180.99