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 $695.24 / $808.78 / $4,334.99	Professional		$695.24	$808.78	$4,334.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,816.00 / $18,595.00	Facility		$3,028.00	$9,816.00	$18,595.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $879.11 / $1,149.26 / $2,250.73	Professional		$879.11	$1,149.26	$2,250.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,939.24	Facility		$66.00	$100.00	$11,939.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $664.90 / $957.96 / $2,145.94	Professional		$664.90	$957.96	$2,145.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $21,143.79 / $37,869.47	Facility		$3,203.00	$21,143.79	$37,869.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $801.17 / $1,028.83 / $2,248.35	Professional		$801.17	$1,028.83	$2,248.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $404.69 / $975.84 / $1,317.38	Professional		$404.69	$975.84	$1,317.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $789.53 / $1,091.95 / $1,957.54	Professional		$789.53	$1,091.95	$1,957.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,118.36 / $26,542.00 / $61,067.60	Facility		$3,118.36	$26,542.00	$61,067.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,554.88 / $6,554.88 / $7,160.63	Professional		$6,554.88	$6,554.88	$7,160.63
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 $875.27 / $1,083.83 / $1,561.34	Facility		$875.27	$1,083.83	$1,561.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $823.97 / $1,073.43 / $2,213.90	Professional		$823.97	$1,073.43	$2,213.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,689.76 / $2,689.76 / $2,689.76	Professional		$2,689.76	$2,689.76	$2,689.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $526.10 / $787.73 / $1,083.13	Professional		$526.10	$787.73	$1,083.13
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,722.00 / $29,312.00	Facility		$7,212.00	$13,722.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $645.29 / $860.40 / $2,019.26	Professional		$645.29	$860.40	$2,019.26