Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $8,090.00 / $18,607.00	Facility		$2,843.00	$8,090.00	$18,607.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $515.10 / $650.72 / $2,587.00	Professional		$515.10	$650.72	$2,587.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $8,484.00 / $16,676.00	Facility		$3,204.00	$8,484.00	$16,676.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $610.89 / $898.71 / $1,666.22	Professional		$610.89	$898.71	$1,666.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,778.71	Facility		$66.00	$100.00	$9,778.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $473.60 / $668.36 / $1,361.43	Professional		$473.60	$668.36	$1,361.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,646.28 / $2,813.00 / $5,000.00	Facility		$1,646.28	$2,813.00	$5,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $752.72 / $1,687.01	Professional		$558.46	$752.72	$1,687.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $482.50 / $740.09 / $999.12	Professional		$482.50	$740.09	$999.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $606.54 / $826.14 / $1,482.65	Professional		$606.54	$826.14	$1,482.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,950.85 / $4,974.60 / $33,500.00	Facility		$2,950.85	$4,974.60	$33,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,560.32 / $4,645.20 / $5,436.23	Professional		$4,560.32	$4,645.20	$5,436.23
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 $641.66 / $808.97 / $1,147.59	Facility		$641.66	$808.97	$1,147.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $558.66 / $803.00 / $1,653.54	Professional		$558.66	$803.00	$1,653.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,028.88 / $2,028.88 / $2,028.88	Professional		$2,028.88	$2,028.88	$2,028.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $597.37 / $723.75 / $912.71	Professional		$597.37	$723.75	$912.71
United Facility/Professional Facility Modifier Low / Median / High Price $4,980.00 / $9,758.00 / $21,278.00	Facility		$4,980.00	$9,758.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $470.82 / $621.92 / $1,346.75	Professional		$470.82	$621.92	$1,346.75