Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $6,640.00 / $18,252.00	Facility		$2,197.85	$6,640.00	$18,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $763.79 / $887.99 / $4,840.56	Professional		$763.79	$887.99	$4,840.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $8,592.00 / $17,774.00	Facility		$2,776.00	$8,592.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.54 / $1,242.07 / $2,551.80	Professional		$933.54	$1,242.07	$2,551.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,290.89	Facility		$66.00	$100.00	$15,290.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $712.51 / $1,025.81 / $2,329.23	Professional		$712.51	$1,025.81	$2,329.23
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 $890.34 / $1,137.66 / $2,480.69	Professional		$890.34	$1,137.66	$2,480.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $819.06 / $1,062.03 / $1,549.35	Professional		$819.06	$1,062.03	$1,549.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $858.91 / $1,191.98 / $2,134.86	Professional		$858.91	$1,191.98	$2,134.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,816.80 / $16,547.20	Facility		$55.00	$6,816.80	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,385.95 / $8,385.95 / $8,385.95	Professional		$8,385.95	$8,385.95	$8,385.95
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 $956.29 / $1,182.29 / $1,815.74	Facility		$956.29	$1,182.29	$1,815.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $895.21 / $1,183.83 / $2,442.28	Professional		$895.21	$1,183.83	$2,442.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,003.46 / $3,003.46 / $3,003.46	Professional		$3,003.46	$3,003.46	$3,003.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $857.28 / $1,178.76 / $1,549.35	Professional		$857.28	$1,178.76	$1,549.35
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 $717.39 / $947.52 / $2,047.99	Professional		$717.39	$947.52	$2,047.99