Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,870.00 / $19,368.00	Facility		$2,421.00	$8,870.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $754.64 / $879.18 / $4,715.16	Professional		$754.64	$879.18	$4,715.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,830.00 / $23,548.00	Facility		$3,028.00	$9,830.00	$23,548.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,017.70 / $1,347.23 / $2,561.85	Professional		$1,017.70	$1,347.23	$2,561.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,793.11	Facility		$66.00	$100.00	$11,793.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $722.78 / $1,036.41 / $2,328.86	Professional		$722.78	$1,036.41	$2,328.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $9,849.51 / $17,640.91	Facility		$3,203.00	$9,849.51	$17,640.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.66 / $1,129.08 / $2,455.38	Professional		$870.66	$1,129.08	$2,455.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $707.37 / $1,049.11 / $1,416.31	Professional		$707.37	$1,049.11	$1,416.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $849.82 / $1,180.30 / $2,114.33	Professional		$849.82	$1,180.30	$2,114.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,239.25 / $26,542.00 / $28,447.40	Facility		$4,239.25	$26,542.00	$28,447.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,433.26 / $7,433.26 / $7,801.80	Professional		$7,433.26	$7,433.26	$7,801.80
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 $946.84 / $1,187.15 / $1,906.80	Facility		$946.84	$1,187.15	$1,906.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $898.41 / $1,173.82 / $2,414.27	Professional		$898.41	$1,173.82	$2,414.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,925.67 / $2,925.67 / $2,925.67	Professional		$2,925.67	$2,925.67	$2,925.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $846.66 / $1,061.06 / $1,338.08	Professional		$846.66	$1,061.06	$1,338.08
United Facility/Professional Facility Modifier Low / Median / High Price $6,142.00 / $12,341.00 / $26,451.00	Facility		$6,142.00	$12,341.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $710.84 / $937.08 / $1,996.24	Professional		$710.84	$937.08	$1,996.24