Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,648.00 / $18,309.00	Facility		$1,992.00	$7,648.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $697.90 / $811.78 / $4,354.26	Professional		$697.90	$811.78	$4,354.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $9,030.00 / $17,774.00	Facility		$2,776.00	$9,030.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $910.15 / $1,148.73 / $2,264.62	Professional		$910.15	$1,148.73	$2,264.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,317.12	Facility		$66.00	$100.00	$10,317.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $655.14 / $942.50 / $2,141.15	Professional		$655.14	$942.50	$2,141.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $6,894.76 / $12,348.83	Facility		$2,813.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $808.75 / $1,032.97 / $2,247.75	Professional		$808.75	$1,032.97	$2,247.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $649.29 / $977.17 / $1,319.18	Professional		$649.29	$977.17	$1,319.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $801.00 / $1,095.60 / $1,963.94	Professional		$801.00	$1,095.60	$1,963.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,924.25 / $19,913.50 / $26,542.00	Facility		$3,924.25	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,062.72 / $6,185.20 / $7,224.75	Professional		$6,062.72	$6,185.20	$7,224.75
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 $879.65 / $1,084.19 / $1,570.00	Facility		$879.65	$1,084.19	$1,570.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $824.40 / $1,084.58 / $2,205.29	Professional		$824.40	$1,084.58	$2,205.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,701.74 / $2,701.74 / $2,701.74	Professional		$2,701.74	$2,701.74	$2,701.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $788.66 / $973.94 / $1,228.21	Professional		$788.66	$973.94	$1,228.21
United Facility/Professional Facility Modifier Low / Median / High Price $6,087.45 / $12,341.00 / $26,451.00	Facility		$6,087.45	$12,341.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $647.73 / $863.64 / $1,822.67	Professional		$647.73	$863.64	$1,822.67