Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,631.00 / $17,393.00	Facility		$1,820.00	$6,631.00	$17,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $697.00 / $791.76 / $4,803.66	Professional		$697.00	$791.76	$4,803.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $7,007.00 / $13,707.00	Facility		$2,675.00	$7,007.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $688.13 / $943.18 / $1,920.36	Professional		$688.13	$943.18	$1,920.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,138.75	Facility		$66.00	$100.00	$8,138.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $550.14 / $805.16 / $1,916.25	Professional		$550.14	$805.16	$1,916.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $771.62 / $1,050.14 / $2,469.71	Professional		$771.62	$1,050.14	$2,469.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $634.40 / $1,075.02 / $1,290.02	Professional		$634.40	$1,075.02	$1,290.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $853.98 / $1,173.35 / $2,151.16	Professional		$853.98	$1,173.35	$2,151.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,122.20 / $6,432.84 / $26,542.00	Facility		$5,122.20	$6,432.84	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,635.04 / $6,763.20 / $7,836.90	Professional		$6,635.04	$6,763.20	$7,836.90
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 $792.60 / $1,125.48 / $1,462.16	Facility		$792.60	$1,125.48	$1,462.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $810.20 / $1,078.85 / $2,397.27	Professional		$810.20	$1,078.85	$2,397.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,980.57 / $2,980.57 / $2,980.57	Professional		$2,980.57	$2,980.57	$2,980.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $800.03 / $1,040.04 / $1,360.05	Professional		$800.03	$1,040.04	$1,360.05
United Facility/Professional Facility Modifier Low / Median / High Price $4,035.00 / $7,473.00 / $15,471.00	Facility		$4,035.00	$7,473.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $688.55 / $920.85 / $1,990.70	Professional		$688.55	$920.85	$1,990.70