Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.00 / $6,423.00 / $18,953.56	Facility		$1,539.00	$6,423.00	$18,953.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $573.89 / $627.29 / $2,433.35	Professional		$573.89	$627.29	$2,433.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $5,793.00 / $11,233.00	Facility		$1,196.00	$5,793.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $634.92 / $820.13 / $1,629.73	Professional		$634.92	$820.13	$1,629.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $7,010.49	Facility		$67.90	$100.00	$7,010.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $494.84 / $743.80 / $1,659.28	Professional		$494.84	$743.80	$1,659.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $535.00 / $1,761.60 / $4,904.76	Facility		$535.00	$1,761.60	$4,904.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $587.66 / $805.97 / $1,763.83	Professional		$587.66	$805.97	$1,763.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $465.75 / $725.86 / $979.91	Professional		$465.75	$725.86	$979.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $593.92 / $780.25 / $1,390.49	Professional		$593.92	$780.25	$1,390.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,445.80 / $7,909.30 / $16,394.00	Facility		$3,445.80	$7,909.30	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,506.80 / $4,632.96 / $5,239.88	Professional		$4,506.80	$4,632.96	$5,239.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $786.88	Professional		$32.34	$32.34	$786.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $618.29 / $803.78 / $1,172.34	Facility		$618.29	$803.78	$1,172.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $587.66 / $850.45 / $1,716.72	Professional		$587.66	$850.45	$1,716.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,026.71 / $2,026.71 / $2,026.71	Professional		$2,026.71	$2,026.71	$2,026.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $465.75 / $659.45 / $838.35	Professional		$465.75	$659.45	$838.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,181.00 / $7,120.00 / $15,471.00	Facility		$2,181.00	$7,120.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $502.20 / $685.82 / $1,560.71	Professional		$502.20	$685.82	$1,560.71