Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $5,990.00 / $17,030.00	Facility		$1,919.00	$5,990.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $582.13 / $695.69 / $3,643.57	Professional		$582.13	$695.69	$3,643.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $882.37 / $1,112.26 / $7,303.00	Facility		$882.37	$1,112.26	$7,303.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $743.64 / $1,071.91 / $1,982.19	Professional		$743.64	$1,071.91	$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 $525.08 / $758.46 / $1,715.27	Professional		$525.08	$758.46	$1,715.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,101.23 / $5,554.45	Facility		$2,277.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $678.89 / $868.69 / $1,896.98	Professional		$678.89	$868.69	$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 $55.00 / $2,633.60 / $8,957.00	Facility		$55.00	$2,633.60	$8,957.00
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 $673.98 / $888.49 / $1,218.04	Facility		$673.98	$888.49	$1,218.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $688.39 / $907.93 / $1,867.08	Professional		$688.39	$907.93	$1,867.08
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 / $9,758.00 / $21,278.00	Facility		$4,523.00	$9,758.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $542.70 / $707.00 / $1,544.54	Professional		$542.70	$707.00	$1,544.54