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 $377.81 / $466.84 / $2,628.84	Professional		$377.81	$466.84	$2,628.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $497.61 / $645.75 / $1,245.33	Professional		$497.61	$645.75	$1,245.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,181.81	Facility		$66.00	$100.00	$8,181.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $373.54 / $540.94 / $1,215.63	Professional		$373.54	$540.94	$1,215.63
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 $446.59 / $590.91 / $1,322.49	Professional		$446.59	$590.91	$1,322.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $331.35 / $616.34 / $2,214.06	Professional		$331.35	$616.34	$2,214.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $499.52 / $683.64 / $1,221.04	Professional		$499.52	$683.64	$1,221.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,916.68 / $8,957.00 / $26,542.00	Facility		$1,916.68	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,710.96 / $3,778.48 / $4,421.03	Professional		$3,710.96	$3,778.48	$4,421.03
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 $471.77 / $654.11 / $895.10	Facility		$471.77	$654.11	$895.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $449.06 / $631.25 / $1,326.96	Professional		$449.06	$631.25	$1,326.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,631.15 / $1,631.15 / $1,631.15	Professional		$1,631.15	$1,631.15	$1,631.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $430.75 / $559.85 / $684.27	Professional		$430.75	$559.85	$684.27
United Facility/Professional Facility Modifier Low / Median / High Price $4,749.16 / $9,713.00 / $21,278.00	Facility		$4,749.16	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $377.75 / $496.08 / $1,118.13	Professional		$377.75	$496.08	$1,118.13