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 $455.35 / $559.47 / $2,994.37	Professional		$455.35	$559.47	$2,994.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,400.00	Facility		$2,137.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $626.91 / $808.96 / $1,532.47	Professional		$626.91	$808.96	$1,532.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,088.49	Facility		$66.00	$100.00	$8,088.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $438.33 / $635.38 / $1,427.88	Professional		$438.33	$635.38	$1,427.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,646.28 / $2,277.00 / $5,000.00	Facility		$1,646.28	$2,277.00	$5,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.29 / $682.76 / $1,503.75	Professional		$510.29	$682.76	$1,503.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $435.96 / $690.37 / $1,175.32	Professional		$435.96	$690.37	$1,175.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.69 / $769.34 / $1,375.46	Professional		$562.69	$769.34	$1,375.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,174.71 / $4,754.80 / $26,542.00	Facility		$2,174.71	$4,754.80	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,206.08 / $4,284.32 / $5,011.80	Professional		$4,206.08	$4,284.32	$5,011.80
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 $608.80 / $750.25 / $1,031.59	Facility		$608.80	$750.25	$1,031.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $525.20 / $734.14 / $1,506.85	Professional		$525.20	$734.14	$1,506.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,857.94 / $1,857.94 / $1,857.94	Professional		$1,857.94	$1,857.94	$1,857.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $557.33 / $626.99 / $766.33	Professional		$557.33	$626.99	$766.33
United Facility/Professional Facility Modifier Low / Median / High Price $4,980.00 / $9,465.00 / $20,217.00	Facility		$4,980.00	$9,465.00	$20,217.00
United Facility/Professional Professional Modifier Low / Median / High Price $444.17 / $590.76 / $1,247.24	Professional		$444.17	$590.76	$1,247.24