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 / $17,701.00	Facility		$1,820.00	$6,695.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $654.12 / $793.68 / $4,032.75	Professional		$654.12	$793.68	$4,032.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,362.00 / $16,106.00	Facility		$2,456.00	$7,362.00	$16,106.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $926.69 / $1,160.60 / $2,191.98	Professional		$926.69	$1,160.60	$2,191.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,493.03	Facility		$66.00	$100.00	$8,493.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $806.59 / $1,156.58 / $2,480.71	Professional		$806.59	$1,156.58	$2,480.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $6,894.76 / $12,348.83	Facility		$2,277.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $797.38 / $1,105.72 / $2,132.84	Professional		$797.38	$1,105.72	$2,132.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $900.06 / $1,215.08	Professional		$505.96	$900.06	$1,215.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $730.00 / $1,010.76 / $1,811.04	Professional		$730.00	$1,010.76	$1,811.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,898.96 / $19,913.50 / $26,542.00	Facility		$2,898.96	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,555.30 / $6,669.15 / $6,771.63	Professional		$6,555.30	$6,669.15	$6,771.63
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 $823.20 / $1,065.90 / $1,503.90	Facility		$823.20	$1,065.90	$1,503.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $799.96 / $1,125.33 / $2,069.91	Professional		$799.96	$1,125.33	$2,069.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,502.25 / $2,502.25 / $2,502.25	Professional		$2,502.25	$2,502.25	$2,502.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $657.74 / $817.21 / $998.81	Professional		$657.74	$817.21	$998.81
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,713.00 / $21,278.00	Facility		$4,523.00	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $613.74 / $840.49 / $1,719.34	Professional		$613.74	$840.49	$1,719.34