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 $583.76 / $663.63 / $3,674.94	Professional		$583.76	$663.63	$3,674.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,986.00 / $14,981.00	Facility		$2,456.00	$6,986.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $753.97 / $944.29 / $1,880.97	Professional		$753.97	$944.29	$1,880.97
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,393.26	Facility		$66.00	$100.00	$8,393.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $524.32 / $751.96 / $1,711.64	Professional		$524.32	$751.96	$1,711.64
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 $659.55 / $872.28 / $1,907.10	Professional		$659.55	$872.28	$1,907.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $411.02 / $828.60 / $1,118.60	Professional		$411.02	$828.60	$1,118.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $670.19 / $926.45 / $1,661.90	Professional		$670.19	$926.45	$1,661.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,311.95 / $19,913.50 / $26,542.00	Facility		$3,311.95	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,119.52 / $5,220.80 / $6,098.70	Professional		$5,119.52	$5,220.80	$6,098.70
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 $742.81 / $906.49 / $1,325.76	Facility		$742.81	$906.49	$1,325.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $668.56 / $916.04 / $1,857.74	Professional		$668.56	$916.04	$1,857.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,280.21 / $2,280.21 / $2,280.21	Professional		$2,280.21	$2,280.21	$2,280.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $534.32 / $735.61 / $919.60	Professional		$534.32	$735.61	$919.60
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,758.00 / $21,278.00	Facility		$5,116.00	$9,758.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $546.21 / $725.40 / $1,557.83	Professional		$546.21	$725.40	$1,557.83