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 $516.51 / $605.29 / $3,236.70	Professional		$516.51	$605.29	$3,236.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,362.00 / $16,106.00	Facility		$2,456.00	$7,362.00	$16,106.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.26 / $872.46 / $1,738.91	Professional		$691.26	$872.46	$1,738.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,493.03	Facility		$66.00	$100.00	$8,493.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $492.74 / $712.92 / $1,604.39	Professional		$492.74	$712.92	$1,604.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,466.59 / $2,606.98 / $3,123.47	Professional		$2,466.59	$2,606.98	$3,123.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $595.67 / $734.97 / $4,922.37	Professional		$595.67	$734.97	$4,922.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $601.95 / $819.70 / $1,471.43	Professional		$601.95	$819.70	$1,471.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,925.95 / $19,913.50 / $26,542.00	Facility		$2,925.95	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,523.12 / $4,609.35 / $5,390.33	Professional		$4,523.12	$4,609.35	$5,390.33
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 $659.22 / $824.03 / $1,198.60	Facility		$659.22	$824.03	$1,198.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $694.59 / $1,240.76 / $1,673.15	Professional		$694.59	$1,240.76	$1,673.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,008.31 / $2,008.31 / $2,008.31	Professional		$2,008.31	$2,008.31	$2,008.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $593.26 / $774.38 / $1,012.66	Professional		$593.26	$774.38	$1,012.66
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,759.00 / $20,988.00	Facility		$4,728.00	$9,759.00	$20,988.00
United Facility/Professional Professional Modifier Low / Median / High Price $483.95 / $640.64 / $1,522.96	Professional		$483.95	$640.64	$1,522.96