Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $869.14 / $5,505.00 / $16,713.00	Facility		$869.14	$5,505.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $699.74 / $806.11 / $4,010.99	Professional		$699.74	$806.11	$4,010.99
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 $826.07 / $1,045.36 / $2,141.21	Professional		$826.07	$1,045.36	$2,141.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,170.31	Facility		$66.00	$100.00	$7,170.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $606.28 / $839.94 / $1,917.51	Professional		$606.28	$839.94	$1,917.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $3,101.23 / $5,554.45	Facility		$1,992.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $769.04 / $1,022.15 / $2,062.69	Professional		$769.04	$1,022.15	$2,062.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $397.99 / $1,007.40 / $1,468.10	Professional		$397.99	$1,007.40	$1,468.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $795.52 / $1,088.60 / $1,863.62	Professional		$795.52	$1,088.60	$1,863.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,665.60 / $3,977.60 / $16,394.00	Facility		$3,665.60	$3,977.60	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,653.36 / $6,642.56 / $7,900.73	Professional		$5,653.36	$6,642.56	$7,900.73
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 $795.39 / $1,067.28 / $1,460.29	Facility		$795.39	$1,067.28	$1,460.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $770.32 / $1,073.32 / $2,131.44	Professional		$770.32	$1,073.32	$2,131.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,488.73 / $2,488.73 / $2,862.60	Professional		$2,488.73	$2,488.73	$2,862.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $557.17 / $831.28 / $1,206.96	Professional		$557.17	$831.28	$1,206.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,060.00 / $9,072.00	Facility		$2,090.00	$4,060.00	$9,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $683.64 / $883.97 / $1,946.75	Professional		$683.64	$883.97	$1,946.75