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 $613.02 / $723.62 / $3,970.01	Professional		$613.02	$723.62	$3,970.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,978.00 / $13,707.00	Facility		$2,456.00	$6,978.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $781.79 / $1,022.54 / $2,040.56	Professional		$781.79	$1,022.54	$2,040.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,677.87	Facility		$66.00	$100.00	$9,677.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $574.11 / $827.93 / $1,876.83	Professional		$574.11	$827.93	$1,876.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,738.49 / $4,904.76	Facility		$2,277.00	$2,738.49	$4,904.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.45 / $899.07 / $2,049.46	Professional		$687.45	$899.07	$2,049.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $670.14 / $879.63 / $1,267.65	Professional		$670.14	$879.63	$1,267.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $719.39 / $983.23 / $1,762.97	Professional		$719.39	$983.23	$1,762.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,206.89 / $7,909.30	Facility		$55.00	$4,206.89	$7,909.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,723.29 / $6,723.29 / $6,723.29	Professional		$6,723.29	$6,723.29	$6,723.29
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 $785.43 / $976.29 / $1,498.20	Facility		$785.43	$976.29	$1,498.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $711.30 / $956.81 / $1,995.57	Professional		$711.30	$956.81	$1,995.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,463.32 / $2,463.32 / $2,463.32	Professional		$2,463.32	$2,463.32	$2,463.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $710.10 / $976.38 / $1,267.65	Professional		$710.10	$976.38	$1,267.65
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $592.53 / $786.09 / $2,101.63	Professional		$592.53	$786.09	$2,101.63