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 $650.53 / $750.92 / $3,635.95	Professional		$650.53	$750.92	$3,635.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,446.00 / $11,139.12 / $24,548.00	Facility		$4,446.00	$11,139.12	$24,548.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $823.62 / $1,182.19 / $2,128.73	Professional		$823.62	$1,182.19	$2,128.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $7,121.41	Facility		$64.40	$100.00	$7,121.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $662.87 / $946.95 / $2,028.91	Professional		$662.87	$946.95	$2,028.91
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 $754.88 / $975.79 / $1,959.97	Professional		$754.88	$975.79	$1,959.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $687.27 / $790.36 / $1,030.91	Professional		$687.27	$790.36	$1,030.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $642.27 / $871.95 / $1,576.01	Professional		$642.27	$871.95	$1,576.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,592.23 / $5,727.54	Facility		$55.00	$5,592.23	$5,727.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,925.30 / $7,925.30 / $7,925.30	Professional		$7,925.30	$7,925.30	$7,925.30
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 $748.55 / $927.72 / $1,512.00	Facility		$748.55	$927.72	$1,512.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $760.78 / $1,003.16 / $1,898.53	Professional		$760.78	$1,003.16	$1,898.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,256.03 / $2,256.03 / $2,256.03	Professional		$2,256.03	$2,256.03	$2,256.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $678.47 / $829.24 / $1,300.05	Professional		$678.47	$829.24	$1,300.05
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $29,312.00	Facility		$7,212.00	$13,651.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $575.51 / $808.35 / $1,619.57	Professional		$575.51	$808.35	$1,619.57