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 $368.24 / $432.96 / $2,281.23	Professional		$368.24	$432.96	$2,281.23
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 $458.21 / $638.91 / $1,224.83	Professional		$458.21	$638.91	$1,224.83
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 $379.81 / $545.15 / $1,188.09	Professional		$379.81	$545.15	$1,188.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $11,130.27 / $19,934.82	Facility		$2,277.00	$11,130.27	$19,934.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $445.72 / $572.00 / $1,181.25	Professional		$445.72	$572.00	$1,181.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $237.16 / $497.58 / $671.73	Professional		$237.16	$497.58	$671.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $409.30 / $566.25 / $1,000.52	Professional		$409.30	$566.25	$1,000.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,583.60 / $26,542.00 / $32,146.50	Facility		$1,583.60	$26,542.00	$32,146.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,959.35 / $3,959.35 / $3,959.35	Professional		$3,959.35	$3,959.35	$3,959.35
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 $457.68 / $582.99 / $803.63	Facility		$457.68	$582.99	$803.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $447.02 / $595.83 / $1,160.44	Professional		$447.02	$595.83	$1,160.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,415.47 / $1,415.47 / $1,415.47	Professional		$1,415.47	$1,415.47	$1,415.47
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $308.30 / $426.88 / $552.80	Professional		$308.30	$426.88	$552.80
United Facility/Professional Facility Modifier Low / Median / High Price $6,366.00 / $13,555.00 / $29,312.00	Facility		$6,366.00	$13,555.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $333.18 / $458.41 / $954.00	Professional		$333.18	$458.41	$954.00