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 $711.11 / $870.94 / $4,432.75	Professional		$711.11	$870.94	$4,432.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,644.00 / $18,544.00	Facility		$3,028.00	$9,644.00	$18,544.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $965.84 / $1,233.23 / $2,409.52	Professional		$965.84	$1,233.23	$2,409.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $12,565.69	Facility		$66.00	$100.00	$12,565.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $710.49 / $1,031.10 / $2,261.60	Professional		$710.49	$1,031.10	$2,261.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $9,790.61 / $17,535.43	Facility		$3,203.00	$9,790.61	$17,535.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $846.29 / $1,081.36 / $2,307.46	Professional		$846.29	$1,081.36	$2,307.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $720.77 / $990.67 / $1,363.43	Professional		$720.77	$990.67	$1,363.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $801.36 / $1,112.34 / $1,993.16	Professional		$801.36	$1,112.34	$1,993.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,190.20 / $26,542.00 / $28,277.30	Facility		$3,190.20	$26,542.00	$28,277.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,160.24 / $6,285.52 / $7,340.03	Professional		$6,160.24	$6,285.52	$7,340.03
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 $890.40 / $1,139.21 / $1,553.99	Facility		$890.40	$1,139.21	$1,553.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $850.52 / $1,128.38 / $2,267.81	Professional		$850.52	$1,128.38	$2,267.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,750.44 / $2,750.44 / $2,750.44	Professional		$2,750.44	$2,750.44	$2,750.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $799.54 / $1,081.16 / $1,363.43	Professional		$799.54	$1,081.16	$1,363.43
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,651.00 / $29,312.00	Facility		$7,696.00	$13,651.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $673.65 / $882.86 / $1,877.51	Professional		$673.65	$882.86	$1,877.51