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 $547.91 / $660.88 / $3,455.92	Professional		$547.91	$660.88	$3,455.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $5,863.00 / $13,697.00	Facility		$1,196.00	$5,863.00	$13,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $624.42 / $818.42 / $1,645.67	Professional		$624.42	$818.42	$1,645.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $7,230.50	Facility		$67.90	$100.00	$7,230.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $460.78 / $679.64 / $1,607.64	Professional		$460.78	$679.64	$1,607.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $535.00 / $1,999.74 / $5,874.33	Facility		$535.00	$1,999.74	$5,874.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $582.15 / $815.07 / $1,819.00	Professional		$582.15	$815.07	$1,819.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $508.93 / $739.11 / $997.80	Professional		$508.93	$739.11	$997.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $622.41 / $811.24 / $1,486.41	Professional		$622.41	$811.24	$1,486.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,027.28 / $9,558.29 / $16,394.00	Facility		$5,027.28	$9,558.29	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,803.00 / $4,871.35 / $5,816.33	Professional		$4,803.00	$4,871.35	$5,816.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $848.19	Professional		$32.34	$32.34	$848.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $647.17 / $841.33 / $1,441.80	Facility		$647.17	$841.33	$1,441.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $602.54 / $865.29 / $1,775.48	Professional		$602.54	$865.29	$1,775.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,144.32 / $2,144.32 / $2,144.32	Professional		$2,144.32	$2,144.32	$2,144.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $508.93 / $712.51 / $916.08	Professional		$508.93	$712.51	$916.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,922.60 / $9,539.00 / $21,278.00	Facility		$2,922.60	$9,539.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $520.52 / $712.45 / $1,561.73	Professional		$520.52	$712.45	$1,561.73