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 $633.17 / $750.90 / $3,870.46	Professional		$633.17	$750.90	$3,870.46
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 $845.30 / $1,123.77 / $2,143.21	Professional		$845.30	$1,123.77	$2,143.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,551.81	Facility		$66.00	$100.00	$8,551.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $802.28 / $1,146.10 / $2,462.67	Professional		$802.28	$1,146.10	$2,462.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $16,510.93 / $29,571.81	Facility		$2,277.00	$16,510.93	$29,571.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $765.85 / $1,063.25 / $2,053.21	Professional		$765.85	$1,063.25	$2,053.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $829.11 / $954.65 / $1,568.37	Professional		$829.11	$954.65	$1,568.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $713.81 / $973.47 / $1,744.86	Professional		$713.81	$973.47	$1,744.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,790.80 / $26,542.00 / $47,686.95	Facility		$2,790.80	$26,542.00	$47,686.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,188.07 / $6,392.27 / $6,423.75	Professional		$6,188.07	$6,392.27	$6,423.75
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 $771.33 / $991.40 / $1,456.49	Facility		$771.33	$991.40	$1,456.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $771.25 / $1,101.59 / $2,005.15	Professional		$771.25	$1,101.59	$2,005.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,401.53 / $2,401.53 / $2,401.53	Professional		$2,401.53	$2,401.53	$2,401.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $772.21 / $963.08 / $1,568.36	Professional		$772.21	$963.08	$1,568.36
United Facility/Professional Facility Modifier Low / Median / High Price $6,783.00 / $12,508.00 / $26,451.00	Facility		$6,783.00	$12,508.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $575.64 / $807.50 / $1,620.60	Professional		$575.64	$807.50	$1,620.60