Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,631.00 / $18,309.00	Facility		$1,992.00	$7,631.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $696.86 / $771.00 / $4,045.45	Professional		$696.86	$771.00	$4,045.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.00 / $10,050.00 / $21,514.00	Facility		$3,908.00	$10,050.00	$21,514.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $874.31 / $1,143.08 / $2,192.73	Professional		$874.31	$1,143.08	$2,192.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,714.18	Facility		$64.40	$100.00	$5,714.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $640.05 / $931.60 / $2,042.18	Professional		$640.05	$931.60	$2,042.18
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 $757.93 / $999.54 / $2,163.85	Professional		$757.93	$999.54	$2,163.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $527.54 / $798.34 / $1,158.40	Professional		$527.54	$798.34	$1,158.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $749.47 / $1,036.18 / $1,783.63	Professional		$749.47	$1,036.18	$1,783.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,277.68 / $7,446.32	Facility		$55.00	$7,277.68	$7,446.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,581.31 / $6,777.31 / $6,781.05	Professional		$6,581.31	$6,777.31	$6,781.05
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 $830.82 / $1,041.70 / $1,518.04	Facility		$830.82	$1,041.70	$1,518.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $786.61 / $1,035.83 / $2,119.35	Professional		$786.61	$1,035.83	$2,119.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,510.12 / $2,510.12 / $2,510.12	Professional		$2,510.12	$2,510.12	$2,510.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $685.81 / $841.64 / $1,028.67	Professional		$685.81	$841.64	$1,028.67
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 $617.12 / $815.48 / $1,708.63	Professional		$617.12	$815.48	$1,708.63