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 $491.06 / $605.98 / $3,068.43	Professional		$491.06	$605.98	$3,068.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,400.00	Facility		$2,137.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $627.76 / $870.41 / $1,683.12	Professional		$627.76	$870.41	$1,683.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,929.19	Facility		$66.00	$100.00	$6,929.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $349.50 / $501.35 / $1,160.27	Professional		$349.50	$501.35	$1,160.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,816.42 / $1,819.64 / $3,253.30	Facility		$1,816.42	$1,819.64	$3,253.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $498.36 / $718.22 / $1,593.03	Professional		$498.36	$718.22	$1,593.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $372.30 / $695.57 / $939.02	Professional		$372.30	$695.57	$939.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $581.40 / $792.06 / $1,428.05	Professional		$581.40	$792.06	$1,428.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,278.59 / $6,312.51 / $16,394.00	Facility		$5,278.59	$6,312.51	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,324.00 / $4,416.88 / $5,532.98	Professional		$4,324.00	$4,416.88	$5,532.98
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 $566.04 / $757.90 / $1,070.42	Facility		$566.04	$757.90	$1,070.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $498.36 / $745.94 / $1,610.02	Professional		$498.36	$745.94	$1,610.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,903.90 / $1,903.90 / $1,903.90	Professional		$1,903.90	$1,903.90	$1,903.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $483.99 / $630.39 / $770.47	Professional		$483.99	$630.39	$770.47
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $458.64 / $609.00 / $1,311.45	Professional		$458.64	$609.00	$1,311.45