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 $490.43 / $575.52 / $3,082.87	Professional		$490.43	$575.52	$3,082.87
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 $653.26 / $861.64 / $1,637.99	Professional		$653.26	$861.64	$1,637.99
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 $463.97 / $672.05 / $1,511.53	Professional		$463.97	$672.05	$1,511.53
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 $588.74 / $740.26 / $1,605.62	Professional		$588.74	$740.26	$1,605.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $521.22 / $705.71 / $985.95	Professional		$521.22	$705.71	$985.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $576.48 / $787.89 / $1,409.17	Professional		$576.48	$787.89	$1,409.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,792.95 / $8,957.00 / $26,542.00	Facility		$2,792.95	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,231.33 / $9,231.33 / $9,231.33	Professional		$9,231.33	$9,231.33	$9,231.33
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 $630.30 / $779.70 / $1,287.22	Facility		$630.30	$779.70	$1,287.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $588.74 / $781.86 / $1,579.56	Professional		$588.74	$781.86	$1,579.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,912.84 / $1,912.84 / $1,912.84	Professional		$1,912.84	$1,912.84	$1,912.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $569.66 / $781.83 / $985.95	Professional		$569.66	$781.83	$985.95
United Facility/Professional Facility Modifier Low / Median / High Price $4,884.00 / $9,451.00 / $20,217.00	Facility		$4,884.00	$9,451.00	$20,217.00
United Facility/Professional Professional Modifier Low / Median / High Price $465.50 / $605.57 / $1,315.77	Professional		$465.50	$605.57	$1,315.77