Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,956.72 / $7,631.00 / $18,309.00	Facility		$1,956.72	$7,631.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $683.41 / $835.72 / $4,328.27	Professional		$683.41	$835.72	$4,328.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $8,484.00 / $17,774.00	Facility		$2,776.00	$8,484.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $845.70 / $1,139.07 / $2,291.91	Professional		$845.70	$1,139.07	$2,291.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,150.11	Facility		$66.00	$100.00	$10,150.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $706.97 / $1,009.99 / $2,230.04	Professional		$706.97	$1,009.99	$2,230.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $6,894.76 / $12,348.83	Facility		$2,813.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $824.32 / $1,086.24 / $2,333.30	Professional		$824.32	$1,086.24	$2,333.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $581.90 / $1,023.80 / $1,382.13	Professional		$581.90	$1,023.80	$1,382.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $801.00 / $1,104.13 / $1,999.10	Professional		$801.00	$1,104.13	$1,999.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,075.96 / $19,913.50 / $26,542.00	Facility		$3,075.96	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,192.16 / $6,369.51 / $7,096.13	Professional		$6,192.16	$6,369.51	$7,096.13
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 $897.97 / $1,139.02 / $1,543.88	Facility		$897.97	$1,139.02	$1,543.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $837.81 / $1,162.68 / $2,257.92	Professional		$837.81	$1,162.68	$2,257.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,685.61 / $2,685.61 / $2,685.61	Professional		$2,685.61	$2,685.61	$2,685.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $756.48 / $930.47 / $1,137.24	Professional		$756.48	$930.47	$1,137.24
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,758.00 / $20,988.00	Facility		$4,523.00	$9,758.00	$20,988.00
United Facility/Professional Professional Modifier Low / Median / High Price $629.64 / $841.61 / $1,782.74	Professional		$629.64	$841.61	$1,782.74