Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,640.00 / $17,701.00	Facility		$1,820.00	$6,640.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $693.54 / $854.20 / $4,569.95	Professional		$693.54	$854.20	$4,569.95
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 $875.88 / $1,176.65 / $2,396.75	Professional		$875.88	$1,176.65	$2,396.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,138.75	Facility		$66.00	$100.00	$8,138.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $738.71 / $1,055.30 / $2,332.01	Professional		$738.71	$1,055.30	$2,332.01
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 $863.84 / $1,144.21 / $2,456.73	Professional		$863.84	$1,144.21	$2,456.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $422.93 / $1,076.70 / $1,453.55	Professional		$422.93	$1,076.70	$1,453.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $835.46 / $1,164.51 / $2,107.48	Professional		$835.46	$1,164.51	$2,107.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,255.92 / $8,957.00 / $26,542.00	Facility		$3,255.92	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,898.69 / $7,126.35 / $7,522.73	Professional		$6,898.69	$7,126.35	$7,522.73
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 $922.88 / $1,175.05 / $1,625.14	Facility		$922.88	$1,175.05	$1,625.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $869.12 / $1,221.71 / $2,352.94	Professional		$869.12	$1,221.71	$2,352.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,835.56 / $2,835.56 / $2,835.56	Professional		$2,835.56	$2,835.56	$2,835.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $549.80 / $869.68 / $1,195.81	Professional		$549.80	$869.68	$1,195.81
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,758.00 / $21,278.00	Facility		$4,523.00	$9,758.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $667.52 / $891.77 / $1,982.93	Professional		$667.52	$891.77	$1,982.93