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 $667.34 / $776.61 / $4,169.16	Professional		$667.34	$776.61	$4,169.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,644.00 / $18,544.00	Facility		$3,028.00	$9,644.00	$18,544.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $850.25 / $1,124.52 / $2,245.25	Professional		$850.25	$1,124.52	$2,245.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,539.24	Facility		$66.00	$100.00	$11,539.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $621.14 / $891.32 / $2,025.31	Professional		$621.14	$891.32	$2,025.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $6,894.76 / $12,348.83	Facility		$3,203.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $795.06 / $1,001.09 / $2,159.60	Professional		$795.06	$1,001.09	$2,159.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $527.17 / $937.09 / $1,265.07	Professional		$527.17	$937.09	$1,265.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.90 / $1,050.01 / $1,882.56	Professional		$758.90	$1,050.01	$1,882.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,511.82 / $19,913.50 / $26,542.00	Facility		$4,511.82	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,807.68 / $5,920.16 / $6,923.63	Professional		$5,807.68	$5,920.16	$6,923.63
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 $843.22 / $1,048.02 / $1,469.54	Facility		$843.22	$1,048.02	$1,469.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $795.06 / $1,072.30 / $2,134.84	Professional		$795.06	$1,072.30	$2,134.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,586.88 / $2,586.88 / $2,586.88	Professional		$2,586.88	$2,586.88	$2,586.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $685.33 / $850.86 / $1,039.94	Professional		$685.33	$850.86	$1,039.94
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,810.00 / $20,988.00	Facility		$5,116.00	$9,810.00	$20,988.00
United Facility/Professional Professional Modifier Low / Median / High Price $621.55 / $835.19 / $1,852.72	Professional		$621.55	$835.19	$1,852.72