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 / $17,809.00	Facility		$1,820.00	$6,695.00	$17,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $624.42 / $729.66 / $3,905.91	Professional		$624.42	$729.66	$3,905.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $735.59 / $957.44 / $1,800.51	Professional		$735.59	$957.44	$1,800.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,908.14	Facility		$66.00	$100.00	$7,908.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $569.82 / $814.03 / $1,813.82	Professional		$569.82	$814.03	$1,813.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,101.23 / $5,554.45	Facility		$2,277.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $637.71 / $881.77 / $1,920.85	Professional		$637.71	$881.77	$1,920.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $572.23 / $817.39 / $1,103.48	Professional		$572.23	$817.39	$1,103.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $681.44 / $932.30 / $1,665.75	Professional		$681.44	$932.30	$1,665.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,345.20 / $8,957.00 / $26,542.00	Facility		$3,345.20	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,379.44 / $5,501.68 / $5,975.40	Professional		$5,379.44	$5,501.68	$5,975.40
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 $695.37 / $893.05 / $1,202.42	Facility		$695.37	$893.05	$1,202.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $642.32 / $901.34 / $1,911.11	Professional		$642.32	$901.34	$1,911.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,423.53 / $2,423.53 / $2,423.53	Professional		$2,423.53	$2,423.53	$2,423.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $660.32 / $858.34 / $1,082.43	Professional		$660.32	$858.34	$1,082.43
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $579.20 / $781.61 / $1,625.96	Professional		$579.20	$781.61	$1,625.96