Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,648.00 / $18,309.00	Facility		$1,992.00	$7,648.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.35 / $413.71 / $2,170.58	Professional		$346.35	$413.71	$2,170.58
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 $448.08 / $591.12 / $1,129.17	Professional		$448.08	$591.12	$1,129.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,677.87	Facility		$66.00	$100.00	$9,677.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $315.70 / $457.90 / $1,029.02	Professional		$315.70	$457.90	$1,029.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $3,101.23 / $5,554.45	Facility		$2,813.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.26 / $522.55 / $1,141.80	Professional		$404.26	$522.55	$1,141.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $446.76 / $536.11 / $845.10	Professional		$446.76	$536.11	$845.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $417.83 / $576.78 / $1,021.35	Professional		$417.83	$576.78	$1,021.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,010.15 / $8,957.00 / $26,542.00	Facility		$2,010.15	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,616.50 / $4,616.50 / $4,616.50	Professional		$4,616.50	$4,616.50	$4,616.50
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 $450.57 / $562.26 / $865.02	Facility		$450.57	$562.26	$865.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $411.14 / $566.45 / $1,115.43	Professional		$411.14	$566.45	$1,115.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,346.79 / $1,346.79 / $1,346.79	Professional		$1,346.79	$1,346.79	$1,346.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $446.76 / $570.91 / $845.10	Professional		$446.76	$570.91	$845.10
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 $324.00 / $426.96 / $921.76	Professional		$324.00	$426.96	$921.76