Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.22 / $5,382.00 / $17,380.00	Facility		$1,256.22	$5,382.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $697.47 / $785.30 / $4,182.75	Professional		$697.47	$785.30	$4,182.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $492.33 / $6,187.00 / $15,178.00	Facility		$492.33	$6,187.00	$15,178.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.99 / $1,262.83 / $2,288.31	Professional		$977.99	$1,262.83	$2,288.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,455.40	Facility		$63.90	$100.00	$5,455.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $706.80 / $1,017.58 / $2,228.09	Professional		$706.80	$1,017.58	$2,228.09
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 $819.24 / $1,038.00 / $2,171.39	Professional		$819.24	$1,038.00	$2,171.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $524.57 / $793.84 / $1,074.83	Professional		$524.57	$793.84	$1,074.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $711.78 / $988.56 / $1,803.66	Professional		$711.78	$988.56	$1,803.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $10,304.28 / $12,834.50	Facility		$5,000.00	$10,304.28	$12,834.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,245.15 / $13,245.15 / $13,245.15	Professional		$13,245.15	$13,245.15	$13,245.15
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 $826.11 / $1,040.08 / $1,619.30	Facility		$826.11	$1,040.08	$1,619.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $825.95 / $1,066.90 / $2,121.36	Professional		$825.95	$1,066.90	$2,121.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,595.32 / $2,595.32 / $2,595.32	Professional		$2,595.32	$2,595.32	$2,595.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $681.94 / $786.86 / $992.29	Professional		$681.94	$786.86	$992.29
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,722.00 / $29,571.00	Facility		$7,212.00	$13,722.00	$29,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $656.04 / $890.34 / $1,770.21	Professional		$656.04	$890.34	$1,770.21