Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,640.00 / $17,701.00	Facility		$1,820.00	$6,640.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.81 / $861.94 / $4,401.22	Professional		$758.81	$861.94	$4,401.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,978.00 / $13,707.00	Facility		$2,456.00	$6,978.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $892.70 / $1,257.17 / $2,372.41	Professional		$892.70	$1,257.17	$2,372.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,263.42	Facility		$66.00	$100.00	$8,263.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $713.83 / $1,026.97 / $2,234.54	Professional		$713.83	$1,026.97	$2,234.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,738.49 / $4,904.76	Facility		$2,277.00	$2,738.49	$4,904.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $842.52 / $1,109.60 / $2,356.51	Professional		$842.52	$1,109.60	$2,356.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $680.56 / $929.07 / $1,287.38	Professional		$680.56	$929.07	$1,287.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.79 / $1,044.54 / $1,864.52	Professional		$758.79	$1,044.54	$1,864.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,424.10 / $7,909.30 / $26,542.00	Facility		$4,424.10	$7,909.30	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,294.01 / $6,294.01 / $6,654.15	Professional		$6,294.01	$6,294.01	$6,654.15
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 $861.94 / $1,102.60 / $1,540.00	Facility		$861.94	$1,102.60	$1,540.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $842.52 / $1,135.42 / $2,235.57	Professional		$842.52	$1,135.42	$2,235.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,730.88 / $2,730.88 / $2,730.88	Professional		$2,730.88	$2,730.88	$2,730.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $750.58 / $1,020.85 / $1,287.36	Professional		$750.58	$1,020.85	$1,287.36
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 $657.31 / $903.26 / $1,848.68	Professional		$657.31	$903.26	$1,848.68