Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,700.00 / $7,368.00 / $19,011.00	Facility		$2,700.00	$7,368.00	$19,011.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.86 / $757.26 / $2,825.35	Professional		$631.86	$757.26	$2,825.35
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 $780.89 / $1,093.16 / $2,129.90	Professional		$780.89	$1,093.16	$2,129.90
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 $589.04 / $845.32 / $1,885.65	Professional		$589.04	$845.32	$1,885.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,211.00 / $9,314.70 / $16,683.07	Facility		$7,211.00	$9,314.70	$16,683.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $717.43 / $935.05 / $2,051.48	Professional		$717.43	$935.05	$2,051.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $618.02 / $890.31 / $1,201.92	Professional		$618.02	$890.31	$1,201.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $730.41 / $996.53 / $1,787.19	Professional		$730.41	$996.53	$1,787.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,566.00 / $26,542.00 / $26,902.80	Facility		$3,566.00	$26,542.00	$26,902.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,386.47 / $6,386.47 / $6,567.68	Professional		$6,386.47	$6,386.47	$6,567.68
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 $794.93 / $986.23 / $1,634.55	Facility		$794.93	$986.23	$1,634.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $742.72 / $985.00 / $2,020.73	Professional		$742.72	$985.00	$2,020.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,453.66 / $2,453.66 / $2,453.66	Professional		$2,453.66	$2,453.66	$2,453.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $718.58 / $927.03 / $1,169.06	Professional		$718.58	$927.03	$1,169.06
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,651.00 / $29,312.00	Facility		$7,696.00	$13,651.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $589.29 / $783.72 / $1,693.22	Professional		$589.29	$783.72	$1,693.22