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 $505.75 / $598.62 / $3,209.36	Professional		$505.75	$598.62	$3,209.36
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 $617.70 / $793.29 / $1,596.19	Professional		$617.70	$793.29	$1,596.19
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 $421.86 / $605.75 / $1,378.83	Professional		$421.86	$605.75	$1,378.83
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 $575.16 / $754.03 / $1,671.81	Professional		$575.16	$754.03	$1,671.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $253.16 / $733.12 / $989.71	Professional		$253.16	$733.12	$989.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $599.07 / $815.15 / $1,464.39	Professional		$599.07	$815.15	$1,464.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,322.76 / $19,913.50 / $26,542.00	Facility		$2,322.76	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,491.43 / $4,578.08 / $5,349.75	Professional		$4,491.43	$4,578.08	$5,349.75
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 $633.23 / $787.40 / $1,172.99	Facility		$633.23	$787.40	$1,172.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $578.98 / $788.32 / $1,624.12	Professional		$578.98	$788.32	$1,624.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,991.35 / $1,991.35 / $1,991.35	Professional		$1,991.35	$1,991.35	$1,991.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $329.11 / $542.74 / $813.73	Professional		$329.11	$542.74	$813.73
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 $475.74 / $616.70 / $1,510.94	Professional		$475.74	$616.70	$1,510.94