Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,648.00 / $18,309.00	Facility		$1,992.00	$7,648.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.99 / $764.60 / $3,899.14	Professional		$645.99	$764.60	$3,899.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $8,484.00 / $16,676.00	Facility		$2,675.00	$8,484.00	$16,676.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $842.63 / $1,113.68 / $2,106.65	Professional		$842.63	$1,113.68	$2,106.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,792.24	Facility		$66.00	$100.00	$9,792.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $618.61 / $896.21 / $1,969.13	Professional		$618.61	$896.21	$1,969.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,738.49 / $2,743.34 / $4,904.76	Facility		$2,738.49	$2,743.34	$4,904.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $768.09 / $981.02 / $2,140.11	Professional		$768.09	$981.02	$2,140.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $741.25 / $889.50 / $1,402.16	Professional		$741.25	$889.50	$1,402.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $718.56 / $982.36 / $1,756.48	Professional		$718.56	$982.36	$1,756.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,200.47 / $7,909.30 / $26,542.00	Facility		$4,200.47	$7,909.30	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,223.58 / $7,223.58 / $7,223.58	Professional		$7,223.58	$7,223.58	$7,223.58
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 $797.44 / $1,011.62 / $1,540.69	Facility		$797.44	$1,011.62	$1,540.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $768.09 / $1,033.08 / $2,006.10	Professional		$768.09	$1,033.08	$2,006.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,419.33 / $2,419.33 / $2,419.33	Professional		$2,419.33	$2,419.33	$2,419.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $741.25 / $968.91 / $1,402.16	Professional		$741.25	$968.91	$1,402.16
United Facility/Professional Facility Modifier Low / Median / High Price $5,416.00 / $12,313.00 / $26,451.00	Facility		$5,416.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $592.74 / $810.53 / $1,811.81	Professional		$592.74	$810.53	$1,811.81