Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,695.00 / $17,809.00	Facility		$1,820.00	$6,695.00	$17,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $714.27 / $826.88 / $4,423.24	Professional		$714.27	$826.88	$4,423.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,362.00 / $16,106.00	Facility		$2,456.00	$7,362.00	$16,106.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $906.10 / $1,173.23 / $2,336.10	Professional		$906.10	$1,173.23	$2,336.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,668.76	Facility		$66.00	$100.00	$15,668.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $585.12 / $835.88 / $1,902.57	Professional		$585.12	$835.88	$1,902.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,340.00 / $4,340.00 / $4,340.00	Facility		$4,340.00	$4,340.00	$4,340.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $795.83 / $1,076.73 / $2,378.11	Professional		$795.83	$1,076.73	$2,378.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $480.27 / $726.79 / $1,350.11	Professional		$480.27	$726.79	$1,350.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $877.37 / $1,220.53 / $2,212.76	Professional		$877.37	$1,220.53	$2,212.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $9,946.09 / $17,132.00	Facility		$2,000.00	$9,946.09	$17,132.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,677.68 / $6,810.80 / $8,527.58	Professional		$6,677.68	$6,810.80	$8,527.58
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 $848.00 / $1,158.78 / $1,571.44	Facility		$848.00	$1,158.78	$1,571.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $795.83 / $1,128.79 / $2,321.15	Professional		$795.83	$1,128.79	$2,321.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,744.54 / $2,744.54 / $2,744.54	Professional		$2,744.54	$2,744.54	$2,744.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $624.35 / $870.23 / $1,196.57	Professional		$624.35	$870.23	$1,196.57
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 $678.16 / $890.01 / $1,950.60	Professional		$678.16	$890.01	$1,950.60