Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,159.00 / $17,030.00	Facility		$1,919.00	$6,159.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $544.72 / $687.98 / $3,710.45	Professional		$544.72	$687.98	$3,710.45
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 $762.82 / $1,027.51 / $1,922.31	Professional		$762.82	$1,027.51	$1,922.31
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 $574.66 / $828.62 / $1,837.72	Professional		$574.66	$828.62	$1,837.72
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 $667.04 / $890.94 / $1,938.71	Professional		$667.04	$890.94	$1,938.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $759.12 / $910.94 / $1,435.97	Professional		$759.12	$910.94	$1,435.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $684.59 / $933.24 / $1,673.45	Professional		$684.59	$933.24	$1,673.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,340.35 / $8,957.00 / $16,394.00	Facility		$3,340.35	$8,957.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,911.53 / $6,911.53 / $6,911.53	Professional		$6,911.53	$6,911.53	$6,911.53
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 $747.80 / $969.14 / $1,778.11	Facility		$747.80	$969.14	$1,778.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $676.15 / $949.94 / $1,895.84	Professional		$676.15	$949.94	$1,895.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,302.25 / $2,302.25 / $2,302.25	Professional		$2,302.25	$2,302.25	$2,302.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $740.66 / $924.84 / $1,435.97	Professional		$740.66	$924.84	$1,435.97
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,707.00 / $20,988.00	Facility		$4,331.00	$9,707.00	$20,988.00
United Facility/Professional Professional Modifier Low / Median / High Price $551.61 / $715.05 / $1,555.41	Professional		$551.61	$715.05	$1,555.41