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 $668.81 / $807.51 / $4,258.89	Professional		$668.81	$807.51	$4,258.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,977.00 / $13,012.00	Facility		$2,143.00	$5,977.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $921.19 / $1,155.08 / $2,255.64	Professional		$921.19	$1,155.08	$2,255.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,506.48	Facility		$66.00	$100.00	$7,506.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $615.90 / $892.49 / $2,013.20	Professional		$615.90	$892.49	$2,013.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $5,729.24 / $10,261.32	Facility		$1,992.00	$5,729.24	$10,261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.66 / $1,014.35 / $2,207.25	Professional		$794.66	$1,014.35	$2,207.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $670.14 / $929.40 / $1,267.65	Professional		$670.14	$929.40	$1,267.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $747.73 / $1,029.38 / $1,845.95	Professional		$747.73	$1,029.38	$1,845.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,329.72 / $16,394.00 / $16,547.20	Facility		$4,329.72	$16,394.00	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,985.31 / $8,985.31 / $8,985.31	Professional		$8,985.31	$8,985.31	$8,985.31
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 $827.83 / $1,054.17 / $1,554.69	Facility		$827.83	$1,054.17	$1,554.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $795.80 / $1,052.05 / $2,122.92	Professional		$795.80	$1,052.05	$2,122.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,642.57 / $2,642.57 / $2,642.57	Professional		$2,642.57	$2,642.57	$2,642.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $750.93 / $1,005.21 / $1,267.65	Professional		$750.93	$1,005.21	$1,267.65
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,313.00 / $26,451.00	Facility		$5,799.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $622.08 / $825.12 / $1,796.96	Professional		$622.08	$825.12	$1,796.96