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 $720.17 / $833.04 / $4,570.64	Professional		$720.17	$833.04	$4,570.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $11,216.00 / $21,514.00	Facility		$3,585.00	$11,216.00	$21,514.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $971.08 / $1,217.21 / $2,415.40	Professional		$971.08	$1,217.21	$2,415.40
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 $694.77 / $1,001.14 / $2,237.61	Professional		$694.77	$1,001.14	$2,237.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,445.00 / $5,729.24 / $10,261.32	Facility		$4,445.00	$5,729.24	$10,261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $852.56 / $1,092.59 / $2,387.67	Professional		$852.56	$1,092.59	$2,387.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $713.70 / $994.51 / $1,350.05	Professional		$713.70	$994.51	$1,350.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $801.62 / $1,110.66 / $1,986.73	Professional		$801.62	$1,110.66	$1,986.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,254.80 / $16,547.20 / $26,542.00	Facility		$6,254.80	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,243.52 / $13,243.52 / $13,243.52	Professional		$13,243.52	$13,243.52	$13,243.52
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 $891.21 / $1,159.94 / $1,939.98	Facility		$891.21	$1,159.94	$1,939.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $854.81 / $1,138.18 / $2,319.73	Professional		$854.81	$1,138.18	$2,319.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,835.98 / $2,835.98 / $2,835.98	Professional		$2,835.98	$2,835.98	$2,835.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $803.47 / $1,070.55 / $1,350.05	Professional		$803.47	$1,070.55	$1,350.05
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 $666.36 / $888.48 / $1,935.11	Professional		$666.36	$888.48	$1,935.11