Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,640.00 / $17,701.00	Facility		$1,820.00	$6,640.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $667.16 / $898.96 / $3,210.11	Professional		$667.16	$898.96	$3,210.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,193.00 / $10,144.00	Facility		$2,160.00	$5,193.00	$10,144.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $766.00 / $1,092.98 / $2,225.56	Professional		$766.00	$1,092.98	$2,225.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,403.01	Facility		$64.40	$100.00	$5,403.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $509.59 / $731.25 / $1,684.51	Professional		$509.59	$731.25	$1,684.51
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 $747.02 / $1,025.08 / $2,291.48	Professional		$747.02	$1,025.08	$2,291.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $357.04 / $540.29 / $1,277.25	Professional		$357.04	$540.29	$1,277.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $826.07 / $1,151.96 / $2,075.06	Professional		$826.07	$1,151.96	$2,075.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,112.08 / $6,235.80	Facility		$55.00	$6,112.08	$6,235.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,284.16 / $6,408.24 / $8,010.45	Professional		$6,284.16	$6,408.24	$8,010.45
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 $814.76 / $1,093.38 / $1,481.61	Facility		$814.76	$1,093.38	$1,481.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $747.02 / $1,076.10 / $2,322.38	Professional		$747.02	$1,076.10	$2,322.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,751.91 / $2,751.91 / $2,751.91	Professional		$2,751.91	$2,751.91	$2,751.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $464.15 / $765.43 / $1,132.14	Professional		$464.15	$765.43	$1,132.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,230.00 / $4,218.00 / $9,131.00	Facility		$2,230.00	$4,218.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $663.96 / $876.05 / $1,824.97	Professional		$663.96	$876.05	$1,824.97