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 $657.34 / $789.96 / $4,115.22	Professional		$657.34	$789.96	$4,115.22
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 $890.77 / $1,128.29 / $2,236.44	Professional		$890.77	$1,128.29	$2,236.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,493.03	Facility		$66.00	$100.00	$8,493.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $640.41 / $920.84 / $2,038.54	Professional		$640.41	$920.84	$2,038.54
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 $750.62 / $987.33 / $2,134.01	Professional		$750.62	$987.33	$2,134.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $917.45 / $1,238.56	Professional		$337.30	$917.45	$1,238.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $744.56 / $1,031.15 / $1,847.25	Professional		$744.56	$1,031.15	$1,847.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,439.34 / $19,913.50 / $26,542.00	Facility		$4,439.34	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,712.88 / $5,823.92 / $6,809.48	Professional		$5,712.88	$5,823.92	$6,809.48
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 $827.29 / $1,044.68 / $1,501.50	Facility		$827.29	$1,044.68	$1,501.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $767.20 / $1,032.06 / $2,101.59	Professional		$767.20	$1,032.06	$2,101.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,553.42 / $2,553.42 / $2,553.42	Professional		$2,553.42	$2,553.42	$2,553.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $438.49 / $723.12 / $1,018.08	Professional		$438.49	$723.12	$1,018.08
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,313.00 / $26,451.00	Facility		$5,799.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $626.69 / $819.16 / $1,742.66	Professional		$626.69	$819.16	$1,742.66