Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,435.17 / $6,631.00 / $17,538.00	Facility		$1,435.17	$6,631.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $773.95 / $927.34 / $4,791.01	Professional		$773.95	$927.34	$4,791.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $9,110.00 / $17,774.00	Facility		$2,776.00	$9,110.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,082.58 / $1,366.36 / $2,602.81	Professional		$1,082.58	$1,366.36	$2,602.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,470.12	Facility		$66.00	$100.00	$9,470.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $926.77 / $1,328.51 / $2,850.35	Professional		$926.77	$1,328.51	$2,850.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $13,026.72 / $23,331.45	Facility		$2,277.00	$13,026.72	$23,331.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $943.71 / $1,276.00 / $2,528.19	Professional		$943.71	$1,276.00	$2,528.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $590.47 / $1,065.17 / $1,437.98	Professional		$590.47	$1,065.17	$1,437.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.64 / $1,198.65 / $2,147.31	Professional		$851.64	$1,198.65	$2,147.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,445.64 / $26,542.00 / $37,623.85	Facility		$3,445.64	$26,542.00	$37,623.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,172.28 / $7,408.96 / $7,926.38	Professional		$7,172.28	$7,408.96	$7,926.38
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 $976.05 / $1,278.20 / $1,738.34	Facility		$976.05	$1,278.20	$1,738.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $949.58 / $1,328.38 / $2,456.40	Professional		$949.58	$1,328.38	$2,456.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,972.73 / $2,972.73 / $2,972.73	Professional		$2,972.73	$2,972.73	$2,972.73
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $767.61 / $967.06 / $1,181.96	Professional		$767.61	$967.06	$1,181.96
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,341.00 / $26,109.00	Facility		$5,799.00	$12,341.00	$26,109.00
United Facility/Professional Professional Modifier Low / Median / High Price $715.93 / $993.58 / $2,069.00	Professional		$715.93	$993.58	$2,069.00