Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,399.50 / $5,815.00 / $16,713.00	Facility		$1,399.50	$5,815.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.00 / $832.23 / $3,120.63	Professional		$585.00	$832.23	$3,120.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $787.57 / $1,034.49 / $1,988.98	Professional		$787.57	$1,034.49	$1,988.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,826.58	Facility		$66.00	$100.00	$7,826.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $502.84 / $719.03 / $1,602.14	Professional		$502.84	$719.03	$1,602.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,360.35 / $2,364.53 / $4,445.00	Facility		$2,360.35	$2,364.53	$4,445.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.24 / $846.27 / $1,839.33	Professional		$663.24	$846.27	$1,839.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $554.35 / $754.67 / $1,048.64	Professional		$554.35	$754.67	$1,048.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $628.25 / $855.34 / $1,535.73	Professional		$628.25	$855.34	$1,535.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,745.74 / $6,817.20	Facility		$55.00	$3,745.74	$6,817.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,781.04 / $4,866.00 / $5,759.48	Professional		$4,781.04	$4,866.00	$5,759.48
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 $677.24 / $845.01 / $1,159.84	Facility		$677.24	$845.01	$1,159.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $670.57 / $886.96 / $1,776.33	Professional		$670.57	$886.96	$1,776.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,135.92 / $2,135.92 / $2,135.92	Professional		$2,135.92	$2,135.92	$2,135.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $608.74 / $831.53 / $1,048.63	Professional		$608.74	$831.53	$1,048.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,213.00 / $9,131.00	Facility		$2,090.00	$4,213.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $519.15 / $709.66 / $1,456.30	Professional		$519.15	$709.66	$1,456.30