Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,956.72 / $8,479.00 / $20,509.00	Facility		$1,956.72	$8,479.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.24 / $641.46 / $3,229.78	Professional		$563.24	$641.46	$3,229.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $8,103.00 / $16,413.00	Facility		$1,500.00	$8,103.00	$16,413.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $635.58 / $816.12 / $1,624.56	Professional		$635.58	$816.12	$1,624.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $9,677.87	Facility		$67.90	$100.00	$9,677.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $501.47 / $757.37 / $1,688.94	Professional		$501.47	$757.37	$1,688.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $643.00 / $1,761.60 / $4,904.76	Facility		$643.00	$1,761.60	$4,904.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $589.33 / $804.39 / $1,767.56	Professional		$589.33	$804.39	$1,767.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $472.45 / $714.11 / $964.05	Professional		$472.45	$714.11	$964.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $582.84 / $765.94 / $1,362.72	Professional		$582.84	$765.94	$1,362.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,371.58 / $7,909.30 / $26,542.00	Facility		$3,371.58	$7,909.30	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,901.04 / $5,901.04 / $5,901.04	Professional		$5,901.04	$5,901.04	$5,901.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $872.81	Professional		$32.34	$32.34	$872.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $612.52 / $811.30 / $1,468.21	Facility		$612.52	$811.30	$1,468.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $589.33 / $855.55 / $1,692.98	Professional		$589.33	$855.55	$1,692.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,004.00 / $2,004.00 / $2,004.00	Professional		$2,004.00	$2,004.00	$2,004.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $472.45 / $661.43 / $850.41	Professional		$472.45	$661.43	$850.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,900.00 / $11,671.00 / $26,451.00	Facility		$2,900.00	$11,671.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $505.44 / $673.61 / $1,506.65	Professional		$505.44	$673.61	$1,506.65