Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,956.72 / $8,782.00 / $20,509.00	Facility		$1,956.72	$8,782.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $621.30 / $737.85 / $3,794.51	Professional		$621.30	$737.85	$3,794.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $6,941.00 / $15,529.00	Facility		$1,450.00	$6,941.00	$15,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $704.01 / $907.08 / $1,851.01	Professional		$704.01	$907.08	$1,851.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.09 / $100.00 / $9,416.95	Facility		$69.09	$100.00	$9,416.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $528.24 / $764.47 / $1,810.63	Professional		$528.24	$764.47	$1,810.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $664.60 / $2,364.98 / $5,927.32	Facility		$664.60	$2,364.98	$5,927.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $648.77 / $904.42 / $1,957.91	Professional		$648.77	$904.42	$1,957.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $400.59 / $808.65 / $1,091.68	Professional		$400.59	$808.65	$1,091.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $681.94 / $888.59 / $1,629.85	Professional		$681.94	$888.59	$1,629.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,517.52 / $9,558.29 / $26,542.00	Facility		$5,517.52	$9,558.29	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,228.32 / $5,341.28 / $6,382.95	Professional		$5,228.32	$5,341.28	$6,382.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,020.60	Professional		$32.34	$32.34	$1,020.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $709.27 / $919.21 / $1,356.03	Facility		$709.27	$919.21	$1,356.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $667.97 / $960.56 / $1,957.91	Professional		$667.97	$960.56	$1,957.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,354.42 / $2,354.42 / $2,354.42	Professional		$2,354.42	$2,354.42	$2,354.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $400.59 / $681.01 / $896.29	Professional		$400.59	$681.01	$896.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,825.00 / $9,291.00 / $20,988.00	Facility		$1,825.00	$9,291.00	$20,988.00
United Facility/Professional Professional Modifier Low / Median / High Price $576.99 / $790.69 / $1,770.65	Professional		$576.99	$790.69	$1,770.65