Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $6,695.00 / $19,011.00	Facility		$2,387.00	$6,695.00	$19,011.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.10 / $479.90 / $1,948.00	Professional		$392.10	$479.90	$1,948.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $6,797.00 / $13,326.00	Facility		$1,450.00	$6,797.00	$13,326.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $438.54 / $607.03 / $1,229.81	Professional		$438.54	$607.03	$1,229.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.80 / $100.00 / $7,501.98	Facility		$69.80	$100.00	$7,501.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $291.32 / $423.29 / $1,018.40	Professional		$291.32	$423.29	$1,018.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $548.30 / $1,766.05 / $4,917.14	Facility		$548.30	$1,766.05	$4,917.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.94 / $580.16 / $1,364.23	Professional		$398.94	$580.16	$1,364.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $332.84 / $556.26 / $750.95	Professional		$332.84	$556.26	$750.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $459.93 / $603.14 / $1,087.00	Professional		$459.93	$603.14	$1,087.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,723.70 / $7,929.30 / $26,542.00	Facility		$2,723.70	$7,929.30	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,460.72 / $3,533.20 / $4,207.43	Professional		$3,460.72	$3,533.20	$4,207.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $702.82	Professional		$32.34	$32.34	$702.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $451.11 / $603.91 / $890.02	Facility		$451.11	$603.91	$890.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $409.65 / $623.20 / $1,297.43	Professional		$409.65	$623.20	$1,297.43
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $4,355.00 / $4,355.00 / $4,355.00	Facility		$4,355.00	$4,355.00	$4,355.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,530.55 / $1,530.55 / $1,530.55	Professional		$1,530.55	$1,530.55	$1,530.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $332.84 / $504.80 / $616.98	Professional		$332.84	$504.80	$616.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,045.00 / $5,978.00 / $14,553.00	Facility		$1,045.00	$5,978.00	$14,553.00
United Facility/Professional Professional Modifier Low / Median / High Price $363.69 / $506.54 / $1,191.14	Professional		$363.69	$506.54	$1,191.14