Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,159.00 / $17,030.00	Facility		$1,919.00	$6,159.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $599.75 / $697.49 / $3,751.23	Professional		$599.75	$697.49	$3,751.23
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 $679.62 / $935.56 / $1,885.15	Professional		$679.62	$935.56	$1,885.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,431.40	Facility		$66.00	$100.00	$7,431.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $541.41 / $777.43 / $1,769.93	Professional		$541.41	$777.43	$1,769.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $8,759.69 / $15,689.00	Facility		$1,992.00	$8,759.69	$15,689.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $681.87 / $896.69 / $1,945.86	Professional		$681.87	$896.69	$1,945.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $378.63 / $841.44 / $1,135.94	Professional		$378.63	$841.44	$1,135.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $681.29 / $942.58 / $1,690.02	Professional		$681.29	$942.58	$1,690.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,699.32 / $16,394.00 / $25,299.80	Facility		$2,699.32	$16,394.00	$25,299.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,213.35 / $5,316.00 / $6,212.55	Professional		$5,213.35	$5,316.00	$6,212.55
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 $756.99 / $932.80 / $1,327.67	Facility		$756.99	$932.80	$1,327.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $696.23 / $938.12 / $1,899.88	Professional		$696.23	$938.12	$1,899.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,327.58 / $2,327.58 / $2,327.58	Professional		$2,327.58	$2,327.58	$2,327.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $492.22 / $681.53 / $933.80	Professional		$492.22	$681.53	$933.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,402.00 / $15,471.00	Facility		$3,523.00	$7,402.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $559.21 / $743.76 / $1,600.16	Professional		$559.21	$743.76	$1,600.16