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 $597.97 / $725.12 / $3,734.55	Professional		$597.97	$725.12	$3,734.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $792.81 / $1,000.63 / $1,991.76	Professional		$792.81	$1,000.63	$1,991.76
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 $557.74 / $802.13 / $1,818.68	Professional		$557.74	$802.13	$1,818.68
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 $706.55 / $896.74 / $1,942.02	Professional		$706.55	$896.74	$1,942.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $840.95 / $1,135.28	Professional		$505.96	$840.95	$1,135.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $680.45 / $931.32 / $1,687.66	Professional		$680.45	$931.32	$1,687.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,366.10 / $8,957.00 / $26,542.00	Facility		$3,366.10	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,201.43 / $5,305.04 / $6,198.75	Professional		$5,201.43	$5,305.04	$6,198.75
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 $754.24 / $940.84 / $1,348.06	Facility		$754.24	$940.84	$1,348.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $712.45 / $962.05 / $1,909.31	Professional		$712.45	$962.05	$1,909.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,317.21 / $2,317.21 / $2,317.21	Professional		$2,317.21	$2,317.21	$2,317.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $657.74 / $763.60 / $957.08	Professional		$657.74	$763.60	$957.08
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,713.00 / $21,278.00	Facility		$4,523.00	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $556.50 / $740.16 / $1,582.82	Professional		$556.50	$740.16	$1,582.82