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 $733.33 / $862.02 / $4,692.55	Professional		$733.33	$862.02	$4,692.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,140.00 / $14,981.00	Facility		$2,456.00	$7,140.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $985.18 / $1,248.91 / $2,470.96	Professional		$985.18	$1,248.91	$2,470.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,393.26	Facility		$66.00	$100.00	$8,393.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $659.40 / $959.00 / $2,155.36	Professional		$659.40	$959.00	$2,155.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $5,729.24 / $10,261.32	Facility		$2,277.00	$5,729.24	$10,261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $848.22 / $1,089.27 / $2,363.66	Professional		$848.22	$1,089.27	$2,363.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $701.04 / $1,031.20 / $1,392.12	Professional		$701.04	$1,031.20	$1,392.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $824.31 / $1,137.32 / $2,041.95	Professional		$824.31	$1,137.32	$2,041.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,771.68 / $16,547.20 / $26,542.00	Facility		$4,771.68	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,988.04 / $7,988.04 / $7,988.04	Professional		$7,988.04	$7,988.04	$7,988.04
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 $915.90 / $1,135.19 / $1,761.95	Facility		$915.90	$1,135.19	$1,761.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $863.37 / $1,134.31 / $2,300.65	Professional		$863.37	$1,134.31	$2,300.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,911.63 / $2,911.63 / $2,911.63	Professional		$2,911.63	$2,911.63	$2,911.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $833.24 / $1,051.56 / $1,326.10	Professional		$833.24	$1,051.56	$1,326.10
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,341.00 / $26,451.00	Facility		$5,799.00	$12,341.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $680.67 / $904.05 / $1,982.07	Professional		$680.67	$904.05	$1,982.07