Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $5,980.00 / $16,973.00	Facility		$1,919.00	$5,980.00	$16,973.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $571.84 / $660.40 / $3,246.96	Professional		$571.84	$660.40	$3,246.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $6,109.00 / $13,697.00	Facility		$2,160.00	$6,109.00	$13,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $747.08 / $936.17 / $1,882.65	Professional		$747.08	$936.17	$1,882.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,344.10	Facility		$66.00	$100.00	$7,344.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $522.45 / $760.92 / $1,745.31	Professional		$522.45	$760.92	$1,745.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $605.19 / $762.54 / $1,682.15	Professional		$605.19	$762.54	$1,682.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $559.19 / $805.43 / $1,057.79	Professional		$559.19	$805.43	$1,057.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $584.73 / $801.77 / $1,494.31	Professional		$584.73	$801.77	$1,494.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,504.36 / $16,394.00 / $16,547.20	Facility		$3,504.36	$16,394.00	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,414.54 / $6,414.54 / $6,414.54	Professional		$6,414.54	$6,414.54	$6,414.54
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 $605.92 / $807.98 / $1,182.51	Facility		$605.92	$807.98	$1,182.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $605.19 / $779.78 / $1,647.58	Professional		$605.19	$779.78	$1,647.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,014.67 / $2,014.67 / $2,014.67	Professional		$2,014.67	$2,014.67	$2,014.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $591.26 / $812.98 / $1,198.82	Professional		$591.26	$812.98	$1,198.82
United Facility/Professional Facility Modifier Low / Median / High Price $4,092.00 / $7,473.00 / $15,471.00	Facility		$4,092.00	$7,473.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $483.02 / $661.28 / $1,368.09	Professional		$483.02	$661.28	$1,368.09