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 $778.06 / $879.65 / $4,462.88	Professional		$778.06	$879.65	$4,462.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $8,592.00 / $17,774.00	Facility		$2,776.00	$8,592.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $896.49 / $1,275.24 / $2,405.69	Professional		$896.49	$1,275.24	$2,405.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,377.87	Facility		$66.00	$100.00	$10,377.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $707.11 / $1,024.82 / $2,250.82	Professional		$707.11	$1,024.82	$2,250.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $7,314.49 / $13,100.59	Facility		$2,813.00	$7,314.49	$13,100.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $840.00 / $1,119.02 / $2,387.67	Professional		$840.00	$1,119.02	$2,387.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $942.08 / $1,271.81	Professional		$505.96	$942.08	$1,271.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $763.41 / $1,058.98 / $1,890.35	Professional		$763.41	$1,058.98	$1,890.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,484.39 / $21,125.75 / $26,542.00	Facility		$4,484.39	$21,125.75	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,584.09 / $8,584.09 / $8,584.09	Professional		$8,584.09	$8,584.09	$8,584.09
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 $879.65 / $1,117.96 / $1,618.34	Facility		$879.65	$1,117.96	$1,618.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $840.00 / $1,150.44 / $2,263.41	Professional		$840.00	$1,150.44	$2,263.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,769.14 / $2,769.14 / $2,769.14	Professional		$2,769.14	$2,769.14	$2,769.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $657.74 / $856.22 / $1,046.50	Professional		$657.74	$856.22	$1,046.50
United Facility/Professional Facility Modifier Low / Median / High Price $6,142.00 / $12,313.00 / $26,451.00	Facility		$6,142.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $669.72 / $916.06 / $1,887.06	Professional		$669.72	$916.06	$1,887.06