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 $462.71 / $551.09 / $2,949.45	Professional		$462.71	$551.09	$2,949.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,597.00 / $9,381.00	Facility		$1,723.00	$4,597.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.67 / $754.06 / $1,508.82	Professional		$602.67	$754.06	$1,508.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,848.26	Facility		$66.00	$100.00	$6,848.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $359.70 / $515.80 / $1,183.22	Professional		$359.70	$515.80	$1,183.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,816.42 / $1,819.64 / $3,253.30	Facility		$1,816.42	$1,819.64	$3,253.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $505.51 / $667.67 / $1,492.82	Professional		$505.51	$667.67	$1,492.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $438.94 / $675.71 / $1,296.80	Professional		$438.94	$675.71	$1,296.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $551.74 / $754.15 / $1,348.69	Professional		$551.74	$754.15	$1,348.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,671.45 / $5,246.20 / $16,394.00	Facility		$2,671.45	$5,246.20	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,480.39 / $4,480.39 / $4,923.08	Professional		$4,480.39	$4,480.39	$4,923.08
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 $583.22 / $735.65 / $1,022.56	Facility		$583.22	$735.65	$1,022.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $507.28 / $704.56 / $1,488.96	Professional		$507.28	$704.56	$1,488.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,830.08 / $1,830.08 / $1,830.08	Professional		$1,830.08	$1,830.08	$1,830.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $545.47 / $613.66 / $750.02	Professional		$545.47	$613.66	$750.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,161.00 / $4,038.00 / $9,682.00	Facility		$2,161.00	$4,038.00	$9,682.00
United Facility/Professional Professional Modifier Low / Median / High Price $434.44 / $556.24 / $1,214.80	Professional		$434.44	$556.24	$1,214.80