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 $711.69 / $829.22 / $4,457.25	Professional		$711.69	$829.22	$4,457.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $960.01 / $1,244.88 / $2,419.21	Professional		$960.01	$1,244.88	$2,419.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,138.75	Facility		$66.00	$100.00	$8,138.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $667.32 / $956.96 / $2,179.32	Professional		$667.32	$956.96	$2,179.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,101.23 / $5,554.45	Facility		$2,277.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $840.95 / $1,068.36 / $2,300.62	Professional		$840.95	$1,068.36	$2,300.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $675.35 / $988.14 / $1,333.99	Professional		$675.35	$988.14	$1,333.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $801.00 / $1,112.50 / $1,993.07	Professional		$801.00	$1,112.50	$1,993.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,599.65 / $8,957.00 / $26,542.00	Facility		$5,599.65	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,177.44 / $6,303.36 / $7,358.10	Professional		$6,177.44	$6,303.36	$7,358.10
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 $892.50 / $1,113.33 / $1,581.02	Facility		$892.50	$1,113.33	$1,581.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $847.15 / $1,108.40 / $2,277.69	Professional		$847.15	$1,108.40	$2,277.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,765.65 / $2,765.65 / $2,765.65	Professional		$2,765.65	$2,765.65	$2,765.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $797.43 / $1,013.03 / $1,277.51	Professional		$797.43	$1,013.03	$1,277.51
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,707.00 / $20,988.00	Facility		$4,331.00	$9,707.00	$20,988.00
United Facility/Professional Professional Modifier Low / Median / High Price $679.56 / $888.16 / $1,835.78	Professional		$679.56	$888.16	$1,835.78