Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,640.00 / $17,701.00	Facility		$1,820.00	$6,640.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.92 / $855.03 / $4,506.30	Professional		$718.92	$855.03	$4,506.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,362.00 / $16,106.00	Facility		$2,456.00	$7,362.00	$16,106.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $926.58 / $1,218.76 / $2,379.91	Professional		$926.58	$1,218.76	$2,379.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,441.89	Facility		$66.00	$100.00	$9,441.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $668.70 / $962.25 / $2,186.09	Professional		$668.70	$962.25	$2,186.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $6,894.76 / $12,348.83	Facility		$2,277.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $845.92 / $1,082.04 / $2,300.07	Professional		$845.92	$1,082.04	$2,300.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $774.76 / $999.61 / $1,465.55	Professional		$774.76	$999.61	$1,465.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $810.02 / $1,125.03 / $2,015.38	Professional		$810.02	$1,125.03	$2,015.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,851.12 / $19,913.50 / $26,542.00	Facility		$4,851.12	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,243.36 / $6,369.92 / $7,437.98	Professional		$6,243.36	$6,369.92	$7,437.98
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 $883.05 / $1,099.30 / $1,509.43	Facility		$883.05	$1,099.30	$1,509.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $857.35 / $1,149.30 / $2,274.77	Professional		$857.35	$1,149.30	$2,274.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,796.09 / $2,796.09 / $2,796.09	Professional		$2,796.09	$2,796.09	$2,796.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $806.70 / $1,109.22 / $1,465.54	Professional		$806.70	$1,109.22	$1,465.54
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,651.00 / $29,312.00	Facility		$7,696.00	$13,651.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $677.88 / $895.68 / $2,112.98	Professional		$677.88	$895.68	$2,112.98