Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,310.00 / $16,713.00	Facility		$1,208.95	$5,310.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $565.66 / $673.26 / $3,605.17	Professional		$565.66	$673.26	$3,605.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,597.00 / $9,381.00	Facility		$1,723.00	$4,597.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $767.78 / $969.04 / $1,898.39	Professional		$767.78	$969.04	$1,898.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,367.09	Facility		$66.00	$100.00	$5,367.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $531.45 / $770.14 / $1,736.68	Professional		$531.45	$770.14	$1,736.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $1,646.28 / $2,948.55	Facility		$1,487.00	$1,646.28	$2,948.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $661.96 / $846.37 / $1,849.32	Professional		$661.96	$846.37	$1,849.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $328.74 / $820.47 / $1,107.63	Professional		$328.74	$820.47	$1,107.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $662.99 / $915.58 / $1,643.38	Professional		$662.99	$915.58	$1,643.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,270.30 / $4,754.80 / $12,000.00	Facility		$3,270.30	$4,754.80	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,052.24 / $5,142.64 / $6,026.33	Professional		$5,052.24	$5,142.64	$6,026.33
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 $710.09 / $896.39 / $1,212.74	Facility		$710.09	$896.39	$1,212.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $674.21 / $897.99 / $1,823.01	Professional		$674.21	$897.99	$1,823.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,236.92 / $2,236.92 / $2,236.92	Professional		$2,236.92	$2,236.92	$2,236.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $427.36 / $662.25 / $910.59	Professional		$427.36	$662.25	$910.59
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,523.00 / $5,830.00	Facility		$587.00	$1,523.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $535.14 / $713.53 / $1,523.35	Professional		$535.14	$713.53	$1,523.35