Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,631.00 / $18,309.00	Facility		$1,992.00	$7,631.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $542.72 / $659.29 / $3,380.97	Professional		$542.72	$659.29	$3,380.97
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 $718.55 / $941.78 / $1,810.74	Professional		$718.55	$941.78	$1,810.74
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 $511.39 / $737.55 / $1,666.80	Professional		$511.39	$737.55	$1,666.80
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 $644.66 / $811.84 / $1,756.45	Professional		$644.66	$811.84	$1,756.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $523.83 / $768.78 / $1,037.84	Professional		$523.83	$768.78	$1,037.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $629.24 / $856.70 / $1,538.15	Professional		$629.24	$856.70	$1,538.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,056.15 / $8,957.00 / $26,542.00	Facility		$3,056.15	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,052.96 / $6,052.96 / $6,052.96	Professional		$6,052.96	$6,052.96	$6,052.96
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 $688.65 / $851.06 / $1,273.63	Facility		$688.65	$851.06	$1,273.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $644.66 / $854.26 / $1,729.61	Professional		$644.66	$854.26	$1,729.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,097.84 / $2,097.84 / $2,097.84	Professional		$2,097.84	$2,097.84	$2,097.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $620.54 / $785.74 / $990.88	Professional		$620.54	$785.74	$990.88
United Facility/Professional Facility Modifier Low / Median / High Price $4,509.00 / $9,699.00 / $20,988.00	Facility		$4,509.00	$9,699.00	$20,988.00
United Facility/Professional Professional Modifier Low / Median / High Price $501.66 / $664.39 / $1,434.13	Professional		$501.66	$664.39	$1,434.13