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 / $18,483.00	Facility		$1,992.00	$7,648.00	$18,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $742.09 / $906.31 / $4,753.01	Professional		$742.09	$906.31	$4,753.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $9,030.00 / $17,774.00	Facility		$2,776.00	$9,030.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $898.25 / $1,222.44 / $2,511.26	Professional		$898.25	$1,222.44	$2,511.26
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 $773.21 / $1,104.58 / $2,442.73	Professional		$773.21	$1,104.58	$2,442.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $8,778.71 / $15,723.08	Facility		$2,813.00	$8,778.71	$15,723.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $896.72 / $1,187.99 / $2,548.58	Professional		$896.72	$1,187.99	$2,548.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $581.90 / $1,114.23 / $1,504.21	Professional		$581.90	$1,114.23	$1,504.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $866.25 / $1,208.22 / $2,185.06	Professional		$866.25	$1,208.22	$2,185.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,384.20 / $25,354.75 / $26,542.00	Facility		$3,384.20	$25,354.75	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,790.16 / $6,807.66 / $7,816.50	Professional		$6,790.16	$6,807.66	$7,816.50
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 $980.25 / $1,245.32 / $1,690.16	Facility		$980.25	$1,245.32	$1,690.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $907.65 / $1,273.31 / $2,451.63	Professional		$907.65	$1,273.31	$2,451.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,949.16 / $2,949.16 / $2,949.16	Professional		$2,949.16	$2,949.16	$2,949.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $756.48 / $1,012.44 / $1,237.42	Professional		$756.48	$1,012.44	$1,237.42
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,759.00 / $21,278.00	Facility		$5,116.00	$9,759.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $694.98 / $937.89 / $2,042.40	Professional		$694.98	$937.89	$2,042.40