Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $7,108.00 / $18,068.00	Facility		$2,197.85	$7,108.00	$18,068.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $546.57 / $648.94 / $2,558.76	Professional		$546.57	$648.94	$2,558.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $7,035.00 / $14,981.00	Facility		$2,675.00	$7,035.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $659.34 / $920.74 / $1,798.40	Professional		$659.34	$920.74	$1,798.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,389.08	Facility		$66.00	$100.00	$8,389.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $498.88 / $716.97 / $1,600.63	Professional		$498.88	$716.97	$1,600.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,106.72 / $5,554.45	Facility		$2,277.00	$3,106.72	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $608.49 / $793.06 / $1,737.66	Professional		$608.49	$793.06	$1,737.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $500.74 / $753.91 / $1,017.78	Professional		$500.74	$753.91	$1,017.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $618.19 / $842.17 / $1,619.00	Professional		$618.19	$842.17	$1,619.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,009.35 / $8,957.00 / $26,542.00	Facility		$3,009.35	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,110.16 / $5,110.16 / $5,543.10	Professional		$5,110.16	$5,110.16	$5,543.10
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 $670.86 / $833.64 / $1,370.60	Facility		$670.86	$833.64	$1,370.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $628.24 / $831.00 / $1,699.96	Professional		$628.24	$831.00	$1,699.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,070.04 / $2,070.04 / $2,070.04	Professional		$2,070.04	$2,070.04	$2,070.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $608.52 / $751.12 / $947.22	Professional		$608.52	$751.12	$947.22
United Facility/Professional Facility Modifier Low / Median / High Price $4,763.00 / $9,758.00 / $21,278.00	Facility		$4,763.00	$9,758.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $495.45 / $660.60 / $1,404.85	Professional		$495.45	$660.60	$1,404.85