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 $534.64 / $623.24 / $3,339.79	Professional		$534.64	$623.24	$3,339.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $615.78 / $852.37 / $1,715.31	Professional		$615.78	$852.37	$1,715.31
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 $419.29 / $601.72 / $1,367.96	Professional		$419.29	$601.72	$1,367.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,101.23 / $5,000.00 / $5,980.00	Facility		$3,101.23	$5,000.00	$5,980.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $598.46 / $785.12 / $1,736.55	Professional		$598.46	$785.12	$1,736.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $450.11 / $755.53 / $2,214.06	Professional		$450.11	$755.53	$2,214.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $620.37 / $845.53 / $1,516.46	Professional		$620.37	$845.53	$1,516.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $8,957.00 / $20,000.00	Facility		$1,800.00	$8,957.00	$20,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,673.52 / $4,754.16 / $5,572.20	Professional		$4,673.52	$4,754.16	$5,572.20
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 $662.81 / $828.51 / $1,199.45	Facility		$662.81	$828.51	$1,199.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $598.46 / $820.81 / $1,707.15	Professional		$598.46	$820.81	$1,707.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,072.29 / $2,072.29 / $2,072.29	Professional		$2,072.29	$2,072.29	$2,072.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $585.14 / $686.03 / $838.48	Professional		$585.14	$686.03	$838.48
United Facility/Professional Facility Modifier Low / Median / High Price $4,980.00 / $9,451.00 / $20,217.00	Facility		$4,980.00	$9,451.00	$20,217.00
United Facility/Professional Professional Modifier Low / Median / High Price $496.26 / $649.03 / $1,415.18	Professional		$496.26	$649.03	$1,415.18