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 $383.21 / $433.76 / $2,524.11	Professional		$383.21	$433.76	$2,524.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $8,484.00 / $17,774.00	Facility		$2,776.00	$8,484.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $439.65 / $644.64 / $1,316.38	Professional		$439.65	$644.64	$1,316.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,138.75	Facility		$66.00	$100.00	$8,138.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $371.95 / $538.92 / $1,211.18	Professional		$371.95	$538.92	$1,211.18
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 $452.64 / $597.90 / $1,268.03	Professional		$452.64	$597.90	$1,268.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $223.75 / $494.52 / $667.60	Professional		$223.75	$494.52	$667.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $402.61 / $554.58 / $1,052.00	Professional		$402.61	$554.58	$1,052.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,928.20 / $8,957.00 / $26,542.00	Facility		$1,928.20	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,222.57 / $3,328.91 / $3,496.20	Professional		$3,222.57	$3,328.91	$3,496.20
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 $427.31 / $547.20 / $791.23	Facility		$427.31	$547.20	$791.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $452.64 / $609.85 / $1,178.61	Professional		$452.64	$609.85	$1,178.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,566.16 / $1,566.16 / $1,566.16	Professional		$1,566.16	$1,566.16	$1,566.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $290.88 / $402.75 / $549.37	Professional		$290.88	$402.75	$549.37
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,713.00 / $21,278.00	Facility		$4,331.00	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $373.68 / $498.24 / $1,145.48	Professional		$373.68	$498.24	$1,145.48