Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $9,560.00 / $21,886.00	Facility		$2,387.00	$9,560.00	$21,886.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.25 / $577.63 / $3,121.96	Professional		$481.25	$577.63	$3,121.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,700.00 / $9,043.00 / $19,398.00	Facility		$1,700.00	$9,043.00	$19,398.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $545.08 / $713.03 / $1,419.95	Professional		$545.08	$713.03	$1,419.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $11,539.24	Facility		$67.90	$100.00	$11,539.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $437.34 / $659.91 / $1,521.99	Professional		$437.34	$659.91	$1,521.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $652.83 / $3,461.93 / $10,261.32	Facility		$652.83	$3,461.93	$10,261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $527.30 / $733.71 / $1,651.31	Professional		$527.30	$733.71	$1,651.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $632.91 / $756.71 / $1,197.23	Professional		$632.91	$756.71	$1,197.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $559.27 / $734.80 / $1,306.21	Professional		$559.27	$734.80	$1,306.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,764.95 / $16,547.20 / $26,542.00	Facility		$3,764.95	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,481.71 / $8,481.71 / $8,481.71	Professional		$8,481.71	$8,481.71	$8,481.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $827.25	Professional		$32.34	$32.34	$827.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $577.63 / $748.38 / $1,354.71	Facility		$577.63	$748.38	$1,354.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $533.88 / $779.93 / $1,587.42	Professional		$533.88	$779.93	$1,587.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,937.10 / $1,937.10 / $1,937.10	Professional		$1,937.10	$1,937.10	$1,937.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $605.79 / $763.79 / $1,139.24	Professional		$605.79	$763.79	$1,139.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $11,056.00 / $26,109.00	Facility		$2,673.00	$11,056.00	$26,109.00
United Facility/Professional Professional Modifier Low / Median / High Price $458.40 / $629.82 / $1,468.81	Professional		$458.40	$629.82	$1,468.81