Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,159.00 / $17,030.00	Facility		$1,919.00	$6,159.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $521.78 / $661.49 / $3,447.26	Professional		$521.78	$661.49	$3,447.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,447.00 / $18,544.00	Facility		$3,028.00	$9,447.00	$18,544.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $775.74 / $961.16 / $1,882.61	Professional		$775.74	$961.16	$1,882.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $20,013.65	Facility		$66.00	$100.00	$20,013.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $438.92 / $627.03 / $1,431.71	Professional		$438.92	$627.03	$1,431.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $590.95 / $809.96 / $1,784.68	Professional		$590.95	$809.96	$1,784.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $753.75 / $829.13 / $1,161.57	Professional		$753.75	$829.13	$1,161.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $632.79 / $859.24 / $1,546.82	Professional		$632.79	$859.24	$1,546.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,757.66 / $20,174.84	Facility		$55.00	$5,757.66	$20,174.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,766.24 / $4,930.88 / $5,990.78	Professional		$4,766.24	$4,930.88	$5,990.78
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 $664.88 / $841.23 / $1,214.67	Facility		$664.88	$841.23	$1,214.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $590.95 / $836.57 / $1,790.37	Professional		$590.95	$836.57	$1,790.37
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,138.94 / $2,138.94 / $2,138.94	Professional		$2,138.94	$2,138.94	$2,138.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $680.10 / $835.09 / $1,464.84	Professional		$680.10	$835.09	$1,464.84
United Facility/Professional Facility Modifier Low / Median / High Price $6,142.00 / $12,377.00 / $26,451.00	Facility		$6,142.00	$12,377.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $522.19 / $668.22 / $1,476.68	Professional		$522.19	$668.22	$1,476.68