Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,310.00 / $16,713.00	Facility		$1,208.95	$5,310.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $618.23 / $723.52 / $3,708.21	Professional		$618.23	$723.52	$3,708.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,537.00 / $14,312.00 / $29,023.00	Facility		$3,537.00	$14,312.00	$29,023.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $907.69 / $1,170.55 / $2,175.88	Professional		$907.69	$1,170.55	$2,175.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $541.65 / $773.78 / $1,752.15	Professional		$541.65	$773.78	$1,752.15
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 $718.47 / $925.23 / $1,992.48	Professional		$718.47	$925.23	$1,992.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $606.85 / $811.90 / $1,014.88	Professional		$606.85	$811.90	$1,014.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $687.07 / $933.39 / $1,691.60	Professional		$687.07	$933.39	$1,691.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,669.58 / $2,000.00 / $3,626.20	Facility		$1,669.58	$2,000.00	$3,626.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,340.48 / $5,459.28 / $6,372.38	Professional		$5,340.48	$5,459.28	$6,372.38
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 $740.44 / $916.09 / $1,256.48	Facility		$740.44	$916.09	$1,256.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $721.85 / $963.78 / $1,943.95	Professional		$721.85	$963.78	$1,943.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,300.86 / $2,300.86 / $2,300.86	Professional		$2,300.86	$2,300.86	$2,300.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $654.70 / $788.90 / $1,031.64	Professional		$654.70	$788.90	$1,031.64
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $573.01 / $783.56 / $1,534.45	Professional		$573.01	$783.56	$1,534.45