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 $713.57 / $802.20 / $4,420.00	Professional		$713.57	$802.20	$4,420.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $902.10 / $1,176.21 / $2,319.60	Professional		$902.10	$1,176.21	$2,319.60
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 $584.38 / $837.33 / $1,905.69	Professional		$584.38	$837.33	$1,905.69
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 $797.38 / $1,058.92 / $2,280.82	Professional		$797.38	$1,058.92	$2,280.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $497.02 / $752.14 / $1,276.58	Professional		$497.02	$752.14	$1,276.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $823.10 / $1,152.20 / $2,088.89	Professional		$823.10	$1,152.20	$2,088.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $9,287.85 / $17,132.00	Facility		$2,000.00	$9,287.85	$17,132.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,333.84 / $6,395.04 / $7,896.08	Professional		$6,333.84	$6,395.04	$7,896.08
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 / $1,101.40 / $1,485.12	Facility		$848.00	$1,101.40	$1,485.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $797.38 / $1,081.07 / $2,275.04	Professional		$797.38	$1,081.07	$2,275.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,786.67 / $2,786.67 / $2,786.67	Professional		$2,786.67	$2,786.67	$2,786.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $646.13 / $894.64 / $1,132.07	Professional		$646.13	$894.64	$1,132.07
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 $678.78 / $888.97 / $1,853.29	Professional		$678.78	$888.97	$1,853.29