Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,211.00 / $17,030.00	Facility		$1,919.00	$6,211.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.55 / $738.56 / $3,966.27	Professional		$634.55	$738.56	$3,966.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,977.00 / $13,707.00	Facility		$2,143.00	$5,977.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $708.16 / $992.29 / $1,986.88	Professional		$708.16	$992.29	$1,986.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,521.05	Facility		$66.00	$100.00	$7,521.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $446.54 / $637.91 / $1,453.84	Professional		$446.54	$637.91	$1,453.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $9,233.79 / $16,538.16	Facility		$1,992.00	$9,233.79	$16,538.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $592.94 / $897.83 / $2,061.21	Professional		$592.94	$897.83	$2,061.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $894.87 / $1,208.07	Professional		$337.30	$894.87	$1,208.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $723.91 / $1,000.79 / $1,795.27	Professional		$723.91	$1,000.79	$1,795.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,579.60 / $16,394.00 / $26,669.10	Facility		$3,579.60	$16,394.00	$26,669.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,529.28 / $5,633.68 / $6,594.15	Professional		$5,529.28	$5,633.68	$6,594.15
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 $686.90 / $949.20 / $1,300.03	Facility		$686.90	$949.20	$1,300.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $592.94 / $942.57 / $2,009.34	Professional		$592.94	$942.57	$2,009.34
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,460.98 / $2,460.98 / $2,460.98	Professional		$2,460.98	$2,460.98	$2,460.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $438.49 / $722.27 / $993.12	Professional		$438.49	$722.27	$993.12
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,555.00 / $29,312.00	Facility		$7,212.00	$13,555.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $577.13 / $767.19 / $1,664.64	Professional		$577.13	$767.19	$1,664.64