Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,695.00 / $17,701.00	Facility		$1,820.00	$6,695.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.26 / $752.47 / $4,182.50	Professional		$665.26	$752.47	$4,182.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $763.60 / $1,001.77 / $1,946.99	Professional		$763.60	$1,001.77	$1,946.99
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,908.14	Facility		$66.00	$100.00	$7,908.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $439.23 / $629.55 / $1,458.72	Professional		$439.23	$629.55	$1,458.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,101.23 / $5,554.45	Facility		$2,277.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $561.78 / $939.92 / $2,129.61	Professional		$561.78	$939.92	$2,129.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $929.09 / $1,254.27	Professional		$421.82	$929.09	$1,254.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $754.34 / $1,033.73 / $1,871.58	Professional		$754.34	$1,033.73	$1,871.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,000.28 / $8,957.00 / $26,542.00	Facility		$3,000.28	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,791.36 / $5,902.16 / $6,902.48	Professional		$5,791.36	$5,902.16	$6,902.48
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 $706.44 / $1,003.08 / $1,358.72	Facility		$706.44	$1,003.08	$1,358.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $577.98 / $987.28 / $2,111.90	Professional		$577.98	$987.28	$2,111.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,595.17 / $2,595.17 / $2,595.17	Professional		$2,595.17	$2,595.17	$2,595.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $548.36 / $759.27 / $1,030.99	Professional		$548.36	$759.27	$1,030.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,060.00 / $9,131.00	Facility		$2,090.00	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $553.67 / $761.31 / $1,770.95	Professional		$553.67	$761.31	$1,770.95