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 $589.29 / $697.73 / $3,584.55	Professional		$589.29	$697.73	$3,584.55
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 $895.37 / $1,170.00 / $2,119.03	Professional		$895.37	$1,170.00	$2,119.03
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 $581.91 / $834.63 / $1,820.21	Professional		$581.91	$834.63	$1,820.21
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 $677.27 / $862.53 / $1,802.68	Professional		$677.27	$862.53	$1,802.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $557.71 / $737.65 / $995.83	Professional		$557.71	$737.65	$995.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $624.26 / $848.08 / $1,537.53	Professional		$624.26	$848.08	$1,537.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,696.51 / $3,294.70 / $16,394.00	Facility		$1,696.51	$3,294.70	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,852.16 / $4,956.56 / $5,790.30	Professional		$4,852.16	$4,956.56	$5,790.30
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 $665.39 / $848.04 / $1,168.83	Facility		$665.39	$848.04	$1,168.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $682.59 / $894.74 / $1,802.68	Professional		$682.59	$894.74	$1,802.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,224.14 / $2,224.14 / $2,224.14	Professional		$2,224.14	$2,224.14	$2,224.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $594.82 / $817.88 / $1,054.97	Professional		$594.82	$817.88	$1,054.97
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 $542.16 / $735.42 / $1,476.26	Professional		$542.16	$735.42	$1,476.26