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 $500.80 / $707.98 / $2,753.79	Professional		$500.80	$707.98	$2,753.79
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 $639.84 / $894.72 / $1,647.91	Professional		$639.84	$894.72	$1,647.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,426.45	Facility		$66.00	$100.00	$8,426.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $452.47 / $650.89 / $1,432.57	Professional		$452.47	$650.89	$1,432.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $6,894.76 / $12,348.83	Facility		$5,000.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.09 / $777.49 / $1,627.66	Professional		$579.09	$777.49	$1,627.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $485.11 / $596.76 / $4,922.37	Professional		$485.11	$596.76	$4,922.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $492.26 / $676.17 / $1,203.29	Professional		$492.26	$676.17	$1,203.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $19,913.50 / $20,000.00	Facility		$1,800.00	$19,913.50	$20,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,548.79 / $4,548.79 / $4,548.79	Professional		$4,548.79	$4,548.79	$4,548.79
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 $546.95 / $677.69 / $1,010.59	Facility		$546.95	$677.69	$1,010.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $579.09 / $800.38 / $1,418.73	Professional		$579.09	$800.38	$1,418.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,708.66 / $1,708.66 / $1,708.66	Professional		$1,708.66	$1,708.66	$1,708.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $482.18 / $630.64 / $824.68	Professional		$482.18	$630.64	$824.68
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,759.00 / $21,278.00	Facility		$5,116.00	$9,759.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $417.76 / $637.07 / $1,168.13	Professional		$417.76	$637.07	$1,168.13