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 / $18,483.00	Facility		$1,539.00	$6,423.00	$18,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $572.22 / $694.01 / $3,507.56	Professional		$572.22	$694.01	$3,507.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,464.00 / $10,705.00	Facility		$873.00	$4,464.00	$10,705.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $572.67 / $785.56 / $1,622.21	Professional		$572.67	$785.56	$1,622.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $8,114.52	Facility		$67.90	$100.00	$8,114.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $448.18 / $652.09 / $1,527.46	Professional		$448.18	$652.09	$1,527.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $643.00 / $4,387.88 / $12,475.01	Facility		$643.00	$4,387.88	$12,475.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $605.96 / $845.36 / $1,960.56	Professional		$605.96	$845.36	$1,960.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $434.10 / $813.96 / $1,098.84	Professional		$434.10	$813.96	$1,098.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $650.86 / $854.71 / $1,530.24	Professional		$650.86	$854.71	$1,530.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $18,305.96 / $20,973.00	Facility		$55.00	$18,305.96	$20,973.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,801.92 / $4,939.28 / $5,613.83	Professional		$4,801.92	$4,939.28	$5,613.83
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 $645.16 / $867.82 / $1,314.17	Facility		$645.16	$867.82	$1,314.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $607.82 / $925.99 / $1,832.50	Professional		$607.82	$925.99	$1,832.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,176.37 / $2,176.37 / $2,176.37	Professional		$2,176.37	$2,176.37	$2,176.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $434.10 / $737.97 / $904.32	Professional		$434.10	$737.97	$904.32
United Facility/Professional Facility Modifier Low / Median / High Price $5,373.00 / $11,243.00 / $25,692.00	Facility		$5,373.00	$11,243.00	$25,692.00
United Facility/Professional Professional Modifier Low / Median / High Price $525.41 / $715.16 / $1,711.03	Professional		$525.41	$715.16	$1,711.03