Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,870.00 / $19,368.00	Facility		$2,421.00	$8,870.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $595.32 / $692.61 / $3,718.96	Professional		$595.32	$692.61	$3,718.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,822.00 / $9,447.00 / $18,544.00	Facility		$2,822.00	$9,447.00	$18,544.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $791.86 / $1,037.88 / $1,997.30	Professional		$791.86	$1,037.88	$1,997.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,796.81	Facility		$66.00	$100.00	$10,796.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $563.17 / $808.52 / $1,836.75	Professional		$563.17	$808.52	$1,836.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,101.23 / $3,106.72 / $5,554.45	Facility		$3,101.23	$3,106.72	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $709.47 / $893.82 / $1,926.56	Professional		$709.47	$893.82	$1,926.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $618.76 / $835.79 / $1,170.47	Professional		$618.76	$835.79	$1,170.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $685.95 / $935.90 / $1,678.23	Professional		$685.95	$935.90	$1,678.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,019.28 / $8,957.00 / $26,542.00	Facility		$4,019.28	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,773.90 / $5,773.90 / $6,167.40	Professional		$5,773.90	$5,773.90	$6,167.40
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 $751.72 / $938.98 / $1,400.30	Facility		$751.72	$938.98	$1,400.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $709.47 / $956.62 / $1,901.23	Professional		$709.47	$956.62	$1,901.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,307.55 / $2,307.55 / $2,307.55	Professional		$2,307.55	$2,307.55	$2,307.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $674.58 / $927.54 / $1,170.46	Professional		$674.58	$927.54	$1,170.46
United Facility/Professional Facility Modifier Low / Median / High Price $4,884.00 / $9,324.00 / $20,217.00	Facility		$4,884.00	$9,324.00	$20,217.00
United Facility/Professional Professional Modifier Low / Median / High Price $554.34 / $733.68 / $1,601.62	Professional		$554.34	$733.68	$1,601.62