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 $524.83 / $610.97 / $3,437.64	Professional		$524.83	$610.97	$3,437.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,978.00 / $13,707.00	Facility		$2,456.00	$6,978.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $688.34 / $868.77 / $1,733.49	Professional		$688.34	$868.77	$1,733.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,919.07	Facility		$66.00	$100.00	$7,919.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $460.57 / $660.96 / $1,504.51	Professional		$460.57	$660.96	$1,504.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,646.28 / $1,649.19 / $2,948.55	Facility		$1,646.28	$1,649.19	$2,948.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $617.13 / $806.23 / $1,788.63	Professional		$617.13	$806.23	$1,788.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $356.66 / $781.13 / $1,054.53	Professional		$356.66	$781.13	$1,054.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $871.23 / $1,563.94	Professional		$638.07	$871.23	$1,563.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,110.25 / $4,754.80 / $26,542.00	Facility		$3,110.25	$4,754.80	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,807.28 / $4,895.60 / $5,730.38	Professional		$4,807.28	$4,895.60	$5,730.38
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 $676.74 / $841.39 / $1,249.81	Facility		$676.74	$841.39	$1,249.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $617.45 / $848.17 / $1,738.43	Professional		$617.45	$848.17	$1,738.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,132.98 / $2,132.98 / $2,132.98	Professional		$2,132.98	$2,132.98	$2,132.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $463.66 / $641.99 / $866.94	Professional		$463.66	$641.99	$866.94
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,758.00 / $21,278.00	Facility		$4,523.00	$9,758.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $506.14 / $662.91 / $1,457.77	Professional		$506.14	$662.91	$1,457.77