Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $7,600.00 / $18,483.00	Facility		$1,924.00	$7,600.00	$18,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $525.54 / $674.95 / $3,473.75	Professional		$525.54	$674.95	$3,473.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $6,040.00 / $13,707.00	Facility		$2,160.00	$6,040.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $743.70 / $942.86 / $1,860.90	Professional		$743.70	$942.86	$1,860.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $6,405.97	Facility		$66.09	$100.00	$6,405.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $523.60 / $755.26 / $1,708.75	Professional		$523.60	$755.26	$1,708.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $6,894.76 / $12,348.83	Facility		$2,277.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $664.03 / $834.11 / $1,807.09	Professional		$664.03	$834.11	$1,807.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $552.12 / $783.26 / $1,057.40	Professional		$552.12	$783.26	$1,057.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $641.69 / $875.81 / $1,619.04	Professional		$641.69	$875.81	$1,619.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,756.78 / $19,913.50	Facility		$55.00	$3,756.78	$19,913.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,719.42 / $5,719.42 / $5,764.05	Professional		$5,719.42	$5,719.42	$5,764.05
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 $702.88 / $871.05 / $1,302.30	Facility		$702.88	$871.05	$1,302.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $664.03 / $883.95 / $1,778.13	Professional		$664.03	$883.95	$1,778.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,155.40 / $2,155.40 / $2,155.40	Professional		$2,155.40	$2,155.40	$2,155.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $632.21 / $828.18 / $1,044.40	Professional		$632.21	$828.18	$1,044.40
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 $516.24 / $683.81 / $1,436.57	Professional		$516.24	$683.81	$1,436.57