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 $733.75 / $965.83 / $5,075.47	Professional		$733.75	$965.83	$5,075.47
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 $948.48 / $1,322.38 / $2,686.19	Professional		$948.48	$1,322.38	$2,686.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,875.07	Facility		$66.00	$100.00	$5,875.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $737.80 / $1,072.06 / $2,409.21	Professional		$737.80	$1,072.06	$2,409.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $894.55 / $1,192.19 / $2,684.60	Professional		$894.55	$1,192.19	$2,684.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $765.66 / $1,523.10	Professional		$505.96	$765.66	$1,523.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $952.08 / $1,328.42 / $2,395.73	Professional		$952.08	$1,328.42	$2,395.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,421.28 / $13,960.05	Facility		$55.00	$7,421.28	$13,960.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,653.00 / $7,653.00 / $8,500.73	Professional		$7,653.00	$7,653.00	$8,500.73
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 $1,049.64 / $1,317.22 / $1,836.80	Facility		$1,049.64	$1,317.22	$1,836.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $915.76 / $1,245.71 / $2,633.19	Professional		$915.76	$1,245.71	$2,633.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,149.24 / $3,149.24 / $3,149.24	Professional		$3,149.24	$3,149.24	$3,149.24
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $657.74 / $984.42 / $1,353.57	Professional		$657.74	$984.42	$1,353.57
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,384.00 / $15,471.00	Facility		$3,610.00	$7,384.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $753.38 / $978.66 / $2,143.37	Professional		$753.38	$978.66	$2,143.37