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 / $18,483.00	Facility		$1,956.72	$7,631.00	$18,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $687.08 / $849.95 / $4,498.33	Professional		$687.08	$849.95	$4,498.33
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 $884.92 / $1,169.04 / $2,340.19	Professional		$884.92	$1,169.04	$2,340.19
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 $719.97 / $1,028.53 / $2,284.30	Professional		$719.97	$1,028.53	$2,284.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $8,725.78 / $15,628.26	Facility		$2,813.00	$8,725.78	$15,628.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.47 / $1,087.33 / $2,362.30	Professional		$839.47	$1,087.33	$2,362.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $396.87 / $1,057.64 / $1,427.81	Professional		$396.87	$1,057.64	$1,427.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $827.03 / $1,155.79 / $2,085.89	Professional		$827.03	$1,155.79	$2,085.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,254.64 / $25,201.85 / $26,542.00	Facility		$3,254.64	$25,201.85	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,310.08 / $6,509.84 / $7,510.20	Professional		$6,310.08	$6,509.84	$7,510.20
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 $881.82 / $1,137.76 / $1,565.84	Facility		$881.82	$1,137.76	$1,565.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $842.30 / $1,174.07 / $2,317.62	Professional		$842.30	$1,174.07	$2,317.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,791.13 / $2,791.13 / $2,791.13	Professional		$2,791.13	$2,791.13	$2,791.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $515.92 / $850.83 / $1,174.38	Professional		$515.92	$850.83	$1,174.38
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,713.00 / $21,278.00	Facility		$4,523.00	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $660.96 / $881.28 / $1,942.72	Professional		$660.96	$881.28	$1,942.72