Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,645.00 / $9,674.00 / $21,960.90	Facility		$2,645.00	$9,674.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $811.49 / $948.73 / $5,082.93	Professional		$811.49	$948.73	$5,082.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $11,276.00 / $22,145.00	Facility		$3,585.00	$11,276.00	$22,145.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,101.83 / $1,390.66 / $2,760.32	Professional		$1,101.83	$1,390.66	$2,760.32
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,668.76	Facility		$66.00	$100.00	$15,668.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $784.50 / $1,124.95 / $2,502.76	Professional		$784.50	$1,124.95	$2,502.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,445.00 / $6,894.76 / $12,348.83	Facility		$4,445.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $971.88 / $1,228.82 / $2,636.36	Professional		$971.88	$1,228.82	$2,636.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $900.22 / $1,124.50 / $1,702.88	Professional		$900.22	$1,124.50	$1,702.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.09 / $1,266.79 / $2,269.83	Professional		$912.09	$1,266.79	$2,269.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,471.58 / $19,913.50 / $26,542.00	Facility		$5,471.58	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,220.28 / $7,220.28 / $8,388.15	Professional		$7,220.28	$7,220.28	$8,388.15
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 $1,017.23 / $1,289.58 / $1,922.08	Facility		$1,017.23	$1,289.58	$1,922.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $973.18 / $1,315.14 / $2,597.56	Professional		$973.18	$1,315.14	$2,597.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,153.87 / $3,153.87 / $3,153.87	Professional		$3,153.87	$3,153.87	$3,153.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $907.46 / $1,247.75 / $1,702.88	Professional		$907.46	$1,247.75	$1,702.88
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,758.00 / $20,988.00	Facility		$4,523.00	$9,758.00	$20,988.00
United Facility/Professional Professional Modifier Low / Median / High Price $758.17 / $1,010.89 / $2,245.82	Professional		$758.17	$1,010.89	$2,245.82