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 $618.41 / $725.98 / $3,737.34	Professional		$618.41	$725.98	$3,737.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,222.00 / $8,869.27 / $20,146.00	Facility		$3,222.00	$8,869.27	$20,146.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $703.56 / $1,025.73 / $2,034.90	Professional		$703.56	$1,025.73	$2,034.90
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 $533.50 / $774.70 / $1,743.70	Professional		$533.50	$774.70	$1,743.70
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 $676.17 / $926.58 / $2,034.86	Professional		$676.17	$926.58	$2,034.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $295.23 / $446.77 / $1,065.76	Professional		$295.23	$446.77	$1,065.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $674.86 / $923.40 / $1,666.52	Professional		$674.86	$923.40	$1,666.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,791.35 / $4,890.66	Facility		$55.00	$4,791.35	$4,890.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,069.52 / $5,175.28 / $5,820.08	Professional		$5,069.52	$5,175.28	$5,820.08
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 $735.74 / $918.68 / $1,364.18	Facility		$735.74	$918.68	$1,364.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $676.17 / $956.57 / $1,890.88	Professional		$676.17	$956.57	$1,890.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,318.94 / $2,318.94 / $2,318.94	Professional		$2,318.94	$2,318.94	$2,318.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $383.80 / $632.92 / $947.56	Professional		$383.80	$632.92	$947.56
United Facility/Professional Facility Modifier Low / Median / High Price $5,478.00 / $12,313.00 / $26,451.00	Facility		$5,478.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $555.36 / $747.05 / $1,610.27	Professional		$555.36	$747.05	$1,610.27