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 $700.44 / $827.02 / $4,447.89	Professional		$700.44	$827.02	$4,447.89
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 $897.33 / $1,177.16 / $2,305.85	Professional		$897.33	$1,177.16	$2,305.85
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 $628.50 / $905.14 / $2,054.64	Professional		$628.50	$905.14	$2,054.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,445.00 / $7,280.87 / $13,040.37	Facility		$4,445.00	$7,280.87	$13,040.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.10 / $1,059.99 / $2,286.10	Professional		$831.10	$1,059.99	$2,286.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $892.03 / $1,070.44 / $1,687.38	Professional		$892.03	$1,070.44	$1,687.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $801.00 / $1,098.40 / $1,967.81	Professional		$801.00	$1,098.40	$1,967.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,275.52 / $21,028.65 / $26,542.00	Facility		$6,275.52	$21,028.65	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,641.99 / $14,641.99 / $14,641.99	Professional		$14,641.99	$14,641.99	$14,641.99
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 $879.84 / $1,087.74 / $1,589.77	Facility		$879.84	$1,087.74	$1,589.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $831.10 / $1,095.28 / $2,244.42	Professional		$831.10	$1,095.28	$2,244.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,759.83 / $2,759.83 / $2,759.83	Professional		$2,759.83	$2,759.83	$2,759.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $871.86 / $1,087.59 / $1,687.38	Professional		$871.86	$1,087.59	$1,687.38
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 $658.80 / $872.96 / $1,847.63	Professional		$658.80	$872.96	$1,847.63