Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,159.00 / $17,030.00	Facility		$1,919.00	$6,159.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.15 / $744.75 / $3,990.32	Professional		$636.15	$744.75	$3,990.32
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 $849.69 / $1,066.09 / $2,133.71	Professional		$849.69	$1,066.09	$2,133.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,373.15	Facility		$66.00	$100.00	$7,373.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $593.59 / $857.48 / $1,934.51	Professional		$593.59	$857.48	$1,934.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $6,894.76 / $12,348.83	Facility		$1,992.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $761.44 / $958.15 / $2,071.27	Professional		$761.44	$958.15	$2,071.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $607.22 / $906.60 / $1,223.91	Professional		$607.22	$906.60	$1,223.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $740.62 / $1,011.09 / $1,815.00	Professional		$740.62	$1,011.09	$1,815.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,330.92 / $16,394.00 / $19,913.50	Facility		$4,330.92	$16,394.00	$19,913.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,170.75 / $7,170.75 / $7,170.75	Professional		$7,170.75	$7,170.75	$7,170.75
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 $813.14 / $1,004.21 / $1,437.87	Facility		$813.14	$1,004.21	$1,437.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $761.44 / $1,022.05 / $2,044.99	Professional		$761.44	$1,022.05	$2,044.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,475.92 / $2,475.92 / $2,475.92	Professional		$2,475.92	$2,475.92	$2,475.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $731.78 / $910.83 / $1,148.63	Professional		$731.78	$910.83	$1,148.63
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,713.00 / $21,278.00	Facility		$4,523.00	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $592.11 / $788.48 / $1,692.20	Professional		$592.11	$788.48	$1,692.20