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 $620.83 / $737.42 / $4,123.99	Professional		$620.83	$737.42	$4,123.99
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 $854.64 / $1,045.48 / $2,111.67	Professional		$854.64	$1,045.48	$2,111.67
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 $602.94 / $878.01 / $1,973.13	Professional		$602.94	$878.01	$1,973.13
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 $715.54 / $937.20 / $2,109.59	Professional		$715.54	$937.20	$2,109.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $765.66 / $1,122.71	Professional		$505.96	$765.66	$1,122.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $725.07 / $1,000.56 / $1,795.68	Professional		$725.07	$1,000.56	$1,795.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $5,695.76 / $13,960.05	Facility		$2,000.00	$5,695.76	$13,960.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,296.79 / $8,296.79 / $8,296.79	Professional		$8,296.79	$8,296.79	$8,296.79
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 $800.64 / $996.78 / $1,525.02	Facility		$800.64	$996.78	$1,525.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $725.10 / $990.21 / $2,041.39	Professional		$725.10	$990.21	$2,041.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,558.86 / $2,558.86 / $2,558.86	Professional		$2,558.86	$2,558.86	$2,558.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $657.74 / $815.76 / $997.04	Professional		$657.74	$815.76	$997.04
United Facility/Professional Facility Modifier Low / Median / High Price $6,142.00 / $12,377.00 / $26,451.00	Facility		$6,142.00	$12,377.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $603.63 / $790.97 / $1,748.70	Professional		$603.63	$790.97	$1,748.70