Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,695.00 / $17,538.00	Facility		$1,820.00	$6,695.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.61 / $621.19 / $3,193.72	Professional		$495.61	$621.19	$3,193.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,362.00 / $16,106.00	Facility		$2,456.00	$7,362.00	$16,106.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $535.66 / $754.60 / $1,563.00	Professional		$535.66	$754.60	$1,563.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,655.16	Facility		$66.00	$100.00	$8,655.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $431.93 / $622.03 / $1,408.22	Professional		$431.93	$622.03	$1,408.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $9,888.18 / $17,710.16	Facility		$2,277.00	$9,888.18	$17,710.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $527.13 / $750.20 / $1,661.44	Professional		$527.13	$750.20	$1,661.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $295.23 / $728.60 / $983.61	Professional		$295.23	$728.60	$983.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $595.91 / $811.06 / $1,482.00	Professional		$595.91	$811.06	$1,482.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,313.36 / $26,542.00 / $28,559.10	Facility		$2,313.36	$26,542.00	$28,559.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,694.09 / $4,694.09 / $5,328.98	Professional		$4,694.09	$4,694.09	$5,328.98
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 $639.58 / $794.54 / $1,089.23	Facility		$639.58	$794.54	$1,089.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $568.10 / $808.60 / $1,615.85	Professional		$568.10	$808.60	$1,615.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,981.63 / $1,981.63 / $1,981.63	Professional		$1,981.63	$1,981.63	$1,981.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $383.80 / $588.13 / $808.68	Professional		$383.80	$588.13	$808.68
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,078.00 / $28,253.00	Facility		$7,696.00	$13,078.00	$28,253.00
United Facility/Professional Professional Modifier Low / Median / High Price $459.36 / $596.36 / $1,336.13	Professional		$459.36	$596.36	$1,336.13