Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,353.00 / $6,626.00 / $17,538.00	Facility		$1,353.00	$6,626.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.10 / $702.61 / $3,761.59	Professional		$602.10	$702.61	$3,761.59
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 $807.26 / $1,034.55 / $2,034.30	Professional		$807.26	$1,034.55	$2,034.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,498.71	Facility		$66.00	$100.00	$9,498.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $579.42 / $833.72 / $1,862.78	Professional		$579.42	$833.72	$1,862.78
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 $719.69 / $903.22 / $1,953.97	Professional		$719.69	$903.22	$1,953.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $844.72 / $1,140.36	Professional		$337.30	$844.72	$1,140.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $684.01 / $946.37 / $1,696.77	Professional		$684.01	$946.37	$1,696.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,065.60 / $19,913.50 / $26,542.00	Facility		$4,065.60	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,234.72 / $5,338.00 / $6,237.98	Professional		$5,234.72	$5,338.00	$6,237.98
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 $758.19 / $950.01 / $1,281.01	Facility		$758.19	$950.01	$1,281.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $719.69 / $942.97 / $1,922.79	Professional		$719.69	$942.97	$1,922.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,333.98 / $2,333.98 / $2,333.98	Professional		$2,333.98	$2,333.98	$2,333.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $438.49 / $681.78 / $937.44	Professional		$438.49	$681.78	$937.44
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,007.00 / $28,973.00	Facility		$7,696.00	$13,007.00	$28,973.00
United Facility/Professional Professional Modifier Low / Median / High Price $559.44 / $748.36 / $1,593.87	Professional		$559.44	$748.36	$1,593.87