Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.00 / $5,382.00 / $17,054.00	Facility		$1,335.00	$5,382.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.46 / $520.51 / $2,635.57	Professional		$477.46	$520.51	$2,635.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,814.00 / $10,536.00	Facility		$1,759.00	$4,814.00	$10,536.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.77 / $793.44 / $1,477.66	Professional		$575.77	$793.44	$1,477.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,620.13	Facility		$66.00	$100.00	$5,620.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $353.49 / $545.59 / $1,337.11	Professional		$353.49	$545.59	$1,337.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,091.14 / $2,471.35 / $5,822.29	Facility		$2,091.14	$2,471.35	$5,822.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $494.47 / $656.30 / $1,983.93	Professional		$494.47	$656.30	$1,983.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $567.67 / $624.45 / $2,320.83	Professional		$567.67	$624.45	$2,320.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $504.74 / $652.83 / $1,167.35	Professional		$504.74	$652.83	$1,167.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,306.79 / $9,388.90 / $12,000.00	Facility		$2,306.79	$9,388.90	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,500.00 / $7,500.00 / $7,500.00	Professional		$7,500.00	$7,500.00	$7,500.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $517.50 / $704.53 / $1,147.68	Facility		$517.50	$704.53	$1,147.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $504.74 / $660.66 / $1,425.45	Professional		$504.74	$660.66	$1,425.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,635.31 / $1,635.31 / $1,635.31	Professional		$1,635.31	$1,635.31	$1,635.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $372.30 / $521.22 / $632.91	Professional		$372.30	$521.22	$632.91
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,359.00 / $15,471.00	Facility		$3,459.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $403.78 / $613.79 / $1,682.66	Professional		$403.78	$613.79	$1,682.66