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 / $21,357.00	Facility		$2,387.00	$9,560.00	$21,357.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $678.17 / $766.51 / $3,848.20	Professional		$678.17	$766.51	$3,848.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,700.00 / $8,484.00 / $18,150.00	Facility		$1,700.00	$8,484.00	$18,150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $714.48 / $928.09 / $1,892.97	Professional		$714.48	$928.09	$1,892.97
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $11,407.14	Facility		$67.90	$100.00	$11,407.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $621.66 / $931.19 / $2,071.64	Professional		$621.66	$931.19	$2,071.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $3,461.93 / $9,842.49	Facility		$732.00	$3,461.93	$9,842.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $681.10 / $964.65 / $2,161.92	Professional		$681.10	$964.65	$2,161.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $595.67 / $907.68 / $1,225.36	Professional		$595.67	$907.68	$1,225.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $727.54 / $956.69 / $1,683.77	Professional		$727.54	$956.69	$1,683.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,799.27 / $16,547.20 / $26,542.00	Facility		$4,799.27	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,710.08 / $6,710.08 / $6,710.08	Professional		$6,710.08	$6,710.08	$6,710.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $631.83	Professional		$32.34	$32.34	$631.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $685.12 / $948.90 / $1,498.63	Facility		$685.12	$948.90	$1,498.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $698.24 / $1,025.99 / $2,015.56	Professional		$698.24	$1,025.99	$2,015.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,387.71 / $2,387.71 / $2,387.71	Professional		$2,387.71	$2,387.71	$2,387.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $595.67 / $833.95 / $1,072.22	Professional		$595.67	$833.95	$1,072.22
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 $593.29 / $807.29 / $1,983.32	Professional		$593.29	$807.29	$1,983.32