Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $8,858.00 / $19,368.00	Facility		$2,616.00	$8,858.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $518.39 / $655.16 / $2,427.85	Professional		$518.39	$655.16	$2,427.85
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 $697.36 / $901.55 / $1,814.02	Professional		$697.36	$901.55	$1,814.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,798.18	Facility		$66.00	$100.00	$11,798.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $517.24 / $746.27 / $1,662.39	Professional		$517.24	$746.27	$1,662.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $18,308.09 / $32,790.64	Facility		$3,203.00	$18,308.09	$32,790.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $632.17 / $804.54 / $1,746.26	Professional		$632.17	$804.54	$1,746.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $537.60 / $758.00 / $1,023.30	Professional		$537.60	$758.00	$1,023.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $622.04 / $847.65 / $1,520.55	Professional		$622.04	$847.65	$1,520.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,031.20 / $26,542.00 / $52,877.55	Facility		$3,031.20	$26,542.00	$52,877.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,683.52 / $4,773.12 / $5,583.08	Professional		$4,683.52	$4,773.12	$5,583.08
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 $681.13 / $849.95 / $1,222.78	Facility		$681.13	$849.95	$1,222.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $638.17 / $835.82 / $1,719.73	Professional		$638.17	$835.82	$1,719.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,082.05 / $2,082.05 / $2,082.05	Professional		$2,082.05	$2,082.05	$2,082.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $611.80 / $806.40 / $1,016.94	Professional		$611.80	$806.40	$1,016.94
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,377.00 / $26,451.00	Facility		$5,799.00	$12,377.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $507.03 / $668.71 / $1,422.21	Professional		$507.03	$668.71	$1,422.21