Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.00 / $5,990.00 / $17,030.00	Facility		$1,539.00	$5,990.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $522.63 / $641.83 / $3,444.32	Professional		$522.63	$641.83	$3,444.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $656.80 / $883.04 / $1,712.29	Professional		$656.80	$883.04	$1,712.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,230.50	Facility		$66.00	$100.00	$7,230.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $488.61 / $698.02 / $1,585.12	Professional		$488.61	$698.02	$1,585.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $3,101.23 / $5,554.45	Facility		$1,992.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.54 / $818.45 / $1,785.45	Professional		$624.54	$818.45	$1,785.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $545.41 / $777.76 / $1,049.98	Professional		$545.41	$777.76	$1,049.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.04 / $869.41 / $1,559.67	Professional		$638.04	$869.41	$1,559.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,486.16 / $8,957.00 / $16,394.00	Facility		$2,486.16	$8,957.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,376.00 / $5,376.00 / $5,722.88	Professional		$5,376.00	$5,376.00	$5,722.88
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 $694.89 / $860.57 / $1,268.58	Facility		$694.89	$860.57	$1,268.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $624.54 / $866.70 / $1,741.04	Professional		$624.54	$866.70	$1,741.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,137.13 / $2,137.13 / $2,137.13	Professional		$2,137.13	$2,137.13	$2,137.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $627.77 / $818.13 / $1,031.73	Professional		$627.77	$818.13	$1,031.73
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,713.00 / $21,278.00	Facility		$4,331.00	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $509.22 / $673.03 / $1,575.51	Professional		$509.22	$673.03	$1,575.51