Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.00 / $5,980.00 / $17,030.00	Facility		$1,539.00	$5,980.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.58 / $616.71 / $3,094.17	Professional		$516.58	$616.71	$3,094.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,863.00 / $11,400.00	Facility		$2,100.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $773.87 / $1,035.45 / $1,830.40	Professional		$773.87	$1,035.45	$1,830.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $7,340.45	Facility		$65.90	$100.00	$7,340.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $507.28 / $727.21 / $1,586.78	Professional		$507.28	$727.21	$1,586.78
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 $584.86 / $750.75 / $1,556.74	Professional		$584.86	$750.75	$1,556.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $479.52 / $637.04 / $860.02	Professional		$479.52	$637.04	$860.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $539.29 / $732.61 / $1,388.77	Professional		$539.29	$732.61	$1,388.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,465.22 / $2,846.30 / $16,394.00	Facility		$1,465.22	$2,846.30	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,191.43 / $4,282.72 / $5,006.47	Professional		$4,191.43	$4,282.72	$5,006.47
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 $568.71 / $732.56 / $1,018.20	Facility		$568.71	$732.56	$1,018.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $589.23 / $772.71 / $1,556.74	Professional		$589.23	$772.71	$1,556.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,919.86 / $1,919.86 / $1,919.86	Professional		$1,919.86	$1,919.86	$1,919.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $513.69 / $706.32 / $907.07	Professional		$513.69	$706.32	$907.07
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,533.00 / $6,323.00	Facility		$587.00	$1,533.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $468.87 / $640.84 / $1,301.45	Professional		$468.87	$640.84	$1,301.45