Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,870.00 / $19,368.00	Facility		$2,421.00	$8,870.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $673.47 / $790.21 / $4,244.10	Professional		$673.47	$790.21	$4,244.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $10,077.00 / $19,951.00	Facility		$3,028.00	$10,077.00	$19,951.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $869.39 / $1,133.34 / $2,280.10	Professional		$869.39	$1,133.34	$2,280.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $13,813.69	Facility		$66.00	$100.00	$13,813.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $646.91 / $934.52 / $2,102.01	Professional		$646.91	$934.52	$2,102.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $29,017.21 / $50,000.00	Facility		$2,277.00	$29,017.21	$50,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $778.36 / $1,006.63 / $2,209.31	Professional		$778.36	$1,006.63	$2,209.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $385.70 / $956.16 / $1,290.82	Professional		$385.70	$956.16	$1,290.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $773.33 / $1,069.17 / $1,917.06	Professional		$773.33	$1,069.17	$1,917.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,051.84 / $26,542.00 / $83,807.64	Facility		$3,051.84	$26,542.00	$83,807.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,919.36 / $6,020.56 / $7,008.15	Professional		$5,919.36	$6,020.56	$7,008.15
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 $857.25 / $1,058.81 / $1,472.00	Facility		$857.25	$1,058.81	$1,472.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $798.13 / $1,046.95 / $2,162.69	Professional		$798.13	$1,046.95	$2,162.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,633.40 / $2,633.40 / $2,633.40	Professional		$2,633.40	$2,633.40	$2,633.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $501.41 / $771.86 / $1,061.30	Professional		$501.41	$771.86	$1,061.30
United Facility/Professional Facility Modifier Low / Median / High Price $8,830.00 / $18,315.00 / $42,098.00	Facility		$8,830.00	$18,315.00	$42,098.00
United Facility/Professional Professional Modifier Low / Median / High Price $628.55 / $837.50 / $1,755.94	Professional		$628.55	$837.50	$1,755.94