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 $741.22 / $866.98 / $4,631.39	Professional		$741.22	$866.98	$4,631.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,978.00 / $13,707.00	Facility		$2,456.00	$6,978.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $994.56 / $1,232.56 / $2,327.09	Professional		$994.56	$1,232.56	$2,327.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,826.58	Facility		$66.00	$100.00	$7,826.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $713.71 / $1,021.74 / $2,272.10	Professional		$713.71	$1,021.74	$2,272.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,360.35 / $4,227.49	Facility		$2,277.00	$2,360.35	$4,227.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.79 / $1,105.79 / $2,364.21	Professional		$839.79	$1,105.79	$2,364.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $744.97 / $957.73 / $1,409.21	Professional		$744.97	$957.73	$1,409.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $801.00 / $1,091.24 / $1,963.19	Professional		$801.00	$1,091.24	$1,963.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,226.84 / $6,817.20 / $26,542.00	Facility		$3,226.84	$6,817.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,898.32 / $6,898.32 / $7,468.50	Professional		$6,898.32	$6,898.32	$7,468.50
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 $892.36 / $1,142.80 / $1,561.36	Facility		$892.36	$1,142.80	$1,561.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $868.35 / $1,153.59 / $2,349.85	Professional		$868.35	$1,153.59	$2,349.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,873.68 / $2,873.68 / $2,873.68	Professional		$2,873.68	$2,873.68	$2,873.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $772.18 / $1,061.74 / $1,409.20	Professional		$772.18	$1,061.74	$1,409.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,060.00 / $9,131.00	Facility		$2,090.00	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $680.97 / $897.75 / $1,907.50	Professional		$680.97	$897.75	$1,907.50