Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,648.00 / $18,309.00	Facility		$1,992.00	$7,648.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $803.28 / $964.43 / $5,168.93	Professional		$803.28	$964.43	$5,168.93
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 $979.43 / $1,289.08 / $2,593.78	Professional		$979.43	$1,289.08	$2,593.78
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 $797.97 / $1,139.96 / $2,540.06	Professional		$797.97	$1,139.96	$2,540.06
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 $933.11 / $1,249.07 / $2,700.91	Professional		$933.11	$1,249.07	$2,700.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $598.66 / $1,166.17 / $1,574.33	Professional		$598.66	$1,166.17	$1,574.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $923.96 / $1,297.05 / $2,329.91	Professional		$923.96	$1,297.05	$2,329.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,696.60 / $19,913.50 / $26,542.00	Facility		$3,696.60	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,302.88 / $7,334.98 / $8,514.00	Professional		$7,302.88	$7,334.98	$8,514.00
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 $1,044.21 / $1,315.18 / $1,841.40	Facility		$1,044.21	$1,315.18	$1,841.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $940.68 / $1,314.42 / $2,638.00	Professional		$940.68	$1,314.42	$2,638.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,207.23 / $3,207.23 / $3,207.23	Professional		$3,207.23	$3,207.23	$3,207.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $778.26 / $1,056.94 / $1,294.38	Professional		$778.26	$1,056.94	$1,294.38
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,758.00 / $21,278.00	Facility		$5,116.00	$9,758.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $765.72 / $1,006.29 / $2,128.69	Professional		$765.72	$1,006.29	$2,128.69