Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,608.00 / $7,108.00 / $17,902.00	Facility		$2,608.00	$7,108.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.54 / $527.98 / $2,852.44	Professional		$468.54	$527.98	$2,852.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $7,362.00 / $16,106.00	Facility		$2,675.00	$7,362.00	$16,106.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $566.17 / $803.19 / $1,544.28	Professional		$566.17	$803.19	$1,544.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,924.67	Facility		$66.00	$100.00	$8,924.67
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $425.40 / $611.39 / $1,365.02	Professional		$425.40	$611.39	$1,365.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $6,906.96 / $12,348.83	Facility		$2,277.00	$6,906.96	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.39 / $684.92 / $1,493.37	Professional		$537.39	$684.92	$1,493.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $431.50 / $645.20 / $871.02	Professional		$431.50	$645.20	$871.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $528.71 / $722.24 / $1,292.39	Professional		$528.71	$722.24	$1,292.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,057.12 / $19,913.50 / $26,542.00	Facility		$2,057.12	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,224.09 / $5,224.09 / $5,224.09	Professional		$5,224.09	$5,224.09	$5,224.09
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 $578.99 / $723.74 / $1,200.00	Facility		$578.99	$723.74	$1,200.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $544.47 / $718.03 / $1,456.47	Professional		$544.47	$718.03	$1,456.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,769.88 / $1,769.88 / $1,769.88	Professional		$1,769.88	$1,769.88	$1,769.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $520.79 / $647.24 / $816.23	Professional		$520.79	$647.24	$816.23
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $29,312.00	Facility		$7,212.00	$13,651.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $423.36 / $564.48 / $1,209.48	Professional		$423.36	$564.48	$1,209.48