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 $667.99 / $759.45 / $3,138.09	Professional		$667.99	$759.45	$3,138.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $834.60 / $1,096.08 / $2,161.44	Professional		$834.60	$1,096.08	$2,161.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,138.75	Facility		$66.00	$100.00	$8,138.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $556.01 / $801.27 / $1,818.03	Professional		$556.01	$801.27	$1,818.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,101.23 / $5,554.45	Facility		$2,277.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $732.90 / $961.73 / $2,106.19	Professional		$732.90	$961.73	$2,106.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $578.17 / $909.29 / $2,214.06	Professional		$578.17	$909.29	$2,214.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $748.17 / $1,020.71 / $1,883.94	Professional		$748.17	$1,020.71	$1,883.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,925.52 / $8,957.00 / $26,542.00	Facility		$2,925.52	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,654.32 / $5,788.16 / $6,727.50	Professional		$5,654.32	$5,788.16	$6,727.50
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 $776.98 / $992.16 / $1,344.35	Facility		$776.98	$992.16	$1,344.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $750.79 / $1,000.99 / $2,071.48	Professional		$750.79	$1,000.99	$2,071.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,545.26 / $2,545.26 / $2,545.26	Professional		$2,545.26	$2,545.26	$2,545.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $733.89 / $825.62 / $1,009.10	Professional		$733.89	$825.62	$1,009.10
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,758.00 / $21,278.00	Facility		$4,523.00	$9,758.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $609.39 / $812.07 / $1,771.47	Professional		$609.39	$812.07	$1,771.47