Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.22 / $7,444.00 / $18,309.00	Facility		$1,256.22	$7,444.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $582.13 / $695.57 / $3,643.57	Professional		$582.13	$695.57	$3,643.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $892.43 / $1,135.00 / $7,303.00	Facility		$892.43	$1,135.00	$7,303.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $744.99 / $1,084.13 / $1,982.19	Professional		$744.99	$1,084.13	$1,982.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,677.87	Facility		$66.00	$100.00	$9,677.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $527.80 / $763.72 / $1,724.47	Professional		$527.80	$763.72	$1,724.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $3,101.23 / $5,554.45	Facility		$2,813.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $685.92 / $874.88 / $1,896.98	Professional		$685.92	$874.88	$1,896.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $515.64 / $824.02 / $2,214.06	Professional		$515.64	$824.02	$2,214.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $674.84 / $920.97 / $1,652.29	Professional		$674.84	$920.97	$1,652.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,633.60 / $8,957.00 / $26,542.00	Facility		$2,633.60	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,087.68 / $5,185.35 / $6,063.15	Professional		$5,087.68	$5,185.35	$6,063.15
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 $676.83 / $888.98 / $1,230.97	Facility		$676.83	$888.98	$1,230.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $688.39 / $907.93 / $1,849.73	Professional		$688.39	$907.93	$1,849.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,260.75 / $2,260.75 / $2,260.75	Professional		$2,260.75	$2,260.75	$2,260.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $665.10 / $748.24 / $914.52	Professional		$665.10	$748.24	$914.52
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,713.00 / $21,278.00	Facility		$4,523.00	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $548.73 / $721.81 / $1,544.54	Professional		$548.73	$721.81	$1,544.54