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 $593.16 / $706.74 / $3,953.27	Professional		$593.16	$706.74	$3,953.27
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 $809.85 / $1,022.13 / $2,040.82	Professional		$809.85	$1,022.13	$2,040.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,336.71	Facility		$66.00	$100.00	$6,336.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $562.72 / $819.86 / $1,842.46	Professional		$562.72	$819.86	$1,842.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,980.00 / $5,980.00 / $5,980.00	Facility		$5,980.00	$5,980.00	$5,980.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $686.21 / $894.87 / $1,999.66	Professional		$686.21	$894.87	$1,999.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $765.66 / $1,077.85	Professional		$505.96	$765.66	$1,077.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $695.50 / $958.96 / $1,721.70	Professional		$695.50	$958.96	$1,721.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $5,451.44 / $13,960.05	Facility		$2,000.00	$5,451.44	$13,960.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,296.72 / $5,410.32 / $6,258.90	Professional		$5,296.72	$5,410.32	$6,258.90
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 $762.84 / $949.58 / $1,317.84	Facility		$762.84	$949.58	$1,317.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $686.21 / $945.02 / $1,956.93	Professional		$686.21	$945.02	$1,956.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,452.91 / $2,452.91 / $2,452.91	Professional		$2,452.91	$2,452.91	$2,452.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $657.74 / $783.21 / $957.25	Professional		$657.74	$783.21	$957.25
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,341.00 / $26,451.00	Facility		$5,799.00	$12,341.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $576.52 / $767.50 / $1,817.22	Professional		$576.52	$767.50	$1,817.22