Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,695.00 / $17,902.00	Facility		$1,820.00	$6,695.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.34 / $766.31 / $3,939.28	Professional		$636.34	$766.31	$3,939.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $895.79 / $1,130.60 / $2,141.36	Professional		$895.79	$1,130.60	$2,141.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,337.77	Facility		$66.00	$100.00	$8,337.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $688.72 / $983.88 / $2,154.30	Professional		$688.72	$983.88	$2,154.30
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 $773.07 / $1,072.34 / $2,078.53	Professional		$773.07	$1,072.34	$2,078.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $560.67 / $889.68 / $1,201.07	Professional		$560.67	$889.68	$1,201.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $719.58 / $994.67 / $1,784.35	Professional		$719.58	$994.67	$1,784.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,845.00 / $8,957.00 / $26,542.00	Facility		$2,845.00	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,151.33 / $6,354.32 / $6,549.90	Professional		$6,151.33	$6,354.32	$6,549.90
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 $798.00 / $999.16 / $1,451.18	Facility		$798.00	$999.16	$1,451.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $781.32 / $1,103.71 / $2,029.15	Professional		$781.32	$1,103.71	$2,029.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,444.23 / $2,444.23 / $2,444.23	Professional		$2,444.23	$2,444.23	$2,444.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $718.10 / $841.03 / $1,060.59	Professional		$718.10	$841.03	$1,060.59
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,707.00 / $20,988.00	Facility		$4,331.00	$9,707.00	$20,988.00
United Facility/Professional Professional Modifier Low / Median / High Price $600.60 / $820.41 / $1,783.21	Professional		$600.60	$820.41	$1,783.21