Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,870.00 / $19,368.00	Facility		$2,421.00	$8,870.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $671.61 / $784.96 / $3,954.22	Professional		$671.61	$784.96	$3,954.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,447.00 / $18,544.00	Facility		$3,028.00	$9,447.00	$18,544.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $753.89 / $1,124.48 / $2,155.94	Professional		$753.89	$1,124.48	$2,155.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,729.10	Facility		$66.00	$100.00	$11,729.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $712.15 / $1,030.94 / $2,240.05	Professional		$712.15	$1,030.94	$2,240.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $5,729.24 / $10,261.32	Facility		$3,203.00	$5,729.24	$10,261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $787.89 / $1,044.47 / $2,214.58	Professional		$787.89	$1,044.47	$2,214.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $554.73 / $922.87 / $1,245.86	Professional		$554.73	$922.87	$1,245.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $732.70 / $1,004.71 / $1,812.76	Professional		$732.70	$1,004.71	$1,812.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,206.78 / $16,547.20 / $26,542.00	Facility		$4,206.78	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,506.44 / $5,642.56 / $6,428.18	Professional		$5,506.44	$5,642.56	$6,428.18
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 $767.94 / $997.03 / $1,530.72	Facility		$767.94	$997.03	$1,530.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $767.94 / $1,065.36 / $2,054.21	Professional		$767.94	$1,065.36	$2,054.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,453.50 / $2,453.50 / $2,453.50	Professional		$2,453.50	$2,453.50	$2,453.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $721.15 / $838.79 / $1,049.33	Professional		$721.15	$838.79	$1,049.33
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $7,402.00 / $15,471.00	Facility		$3,800.00	$7,402.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $581.51 / $815.63 / $1,757.07	Professional		$581.51	$815.63	$1,757.07