Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,640.00 / $17,701.00	Facility		$1,820.00	$6,640.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.99 / $706.57 / $3,766.82	Professional		$602.99	$706.57	$3,766.82
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 $810.12 / $1,074.07 / $2,048.79	Professional		$810.12	$1,074.07	$2,048.79
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 $762.32 / $1,093.15 / $2,344.57	Professional		$762.32	$1,093.15	$2,344.57
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 $721.19 / $1,021.72 / $1,995.19	Professional		$721.19	$1,021.72	$1,995.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $822.41 / $932.11 / $1,555.70	Professional		$822.41	$932.11	$1,555.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $695.74 / $948.30 / $1,700.69	Professional		$695.74	$948.30	$1,700.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,713.68 / $19,913.50 / $26,542.00	Facility		$2,713.68	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,987.91 / $6,185.51 / $6,245.55	Professional		$5,987.91	$6,185.51	$6,245.55
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 $749.43 / $952.26 / $1,393.36	Facility		$749.43	$952.26	$1,393.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $724.06 / $1,051.16 / $1,932.19	Professional		$724.06	$1,051.16	$1,932.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,337.25 / $2,337.25 / $2,337.25	Professional		$2,337.25	$2,337.25	$2,337.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $752.77 / $940.40 / $1,555.69	Professional		$752.77	$940.40	$1,555.69
United Facility/Professional Facility Modifier Low / Median / High Price $6,087.45 / $12,341.00 / $26,451.00	Facility		$6,087.45	$12,341.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $559.98 / $758.99 / $1,551.44	Professional		$559.98	$758.99	$1,551.44