Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,645.00 / $9,674.00 / $21,960.90	Facility		$2,645.00	$9,674.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $763.08 / $833.43 / $4,689.82	Professional		$763.08	$833.43	$4,689.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $8,484.00 / $16,676.00	Facility		$2,675.00	$8,484.00	$16,676.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $894.15 / $1,183.80 / $2,458.14	Professional		$894.15	$1,183.80	$2,458.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $14,871.05	Facility		$66.00	$100.00	$14,871.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $714.50 / $1,038.81 / $2,330.75	Professional		$714.50	$1,038.81	$2,330.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,738.49 / $2,743.34 / $4,904.76	Facility		$2,738.49	$2,743.34	$4,904.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $805.90 / $1,088.44 / $2,417.10	Professional		$805.90	$1,088.44	$2,417.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $744.60 / $1,005.45 / $1,408.50	Professional		$744.60	$1,005.45	$1,408.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $803.05 / $1,107.57 / $1,989.17	Professional		$803.05	$1,107.57	$1,989.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,642.68 / $7,909.30 / $26,542.00	Facility		$4,642.68	$7,909.30	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,519.70 / $8,519.70 / $8,519.70	Professional		$8,519.70	$8,519.70	$8,519.70
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 $887.28 / $1,117.83 / $1,788.55	Facility		$887.28	$1,117.83	$1,788.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $825.70 / $1,123.63 / $2,275.92	Professional		$825.70	$1,123.63	$2,275.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,909.95 / $2,909.95 / $2,909.95	Professional		$2,909.95	$2,909.95	$2,909.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $812.46 / $1,116.90 / $1,408.50	Professional		$812.46	$1,116.90	$1,408.50
United Facility/Professional Facility Modifier Low / Median / High Price $3,842.00 / $7,106.00 / $14,743.00	Facility		$3,842.00	$7,106.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $679.32 / $892.32 / $1,973.44	Professional		$679.32	$892.32	$1,973.44