Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,631.00 / $18,309.00	Facility		$1,992.00	$7,631.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $571.34 / $774.69 / $4,387.18	Professional		$571.34	$774.69	$4,387.18
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 $802.94 / $1,046.07 / $2,023.42	Professional		$802.94	$1,046.07	$2,023.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,677.87	Facility		$66.00	$100.00	$9,677.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $651.69 / $945.01 / $2,130.44	Professional		$651.69	$945.01	$2,130.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $3,101.23 / $5,554.45	Facility		$2,813.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $698.36 / $1,001.91 / $2,202.90	Professional		$698.36	$1,001.91	$2,202.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $708.49 / $1,034.60 / $1,396.72	Professional		$708.49	$1,034.60	$1,396.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $819.30 / $1,123.40 / $2,030.91	Professional		$819.30	$1,123.40	$2,030.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,149.56 / $8,957.00 / $26,542.00	Facility		$3,149.56	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,130.51 / $6,315.12 / $7,273.73	Professional		$6,130.51	$6,315.12	$7,273.73
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 $840.00 / $1,080.97 / $1,513.19	Facility		$840.00	$1,080.97	$1,513.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $725.67 / $1,092.83 / $2,236.51	Professional		$725.67	$1,092.83	$2,236.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,722.15 / $2,722.15 / $2,722.15	Professional		$2,722.15	$2,722.15	$2,722.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $835.61 / $1,062.73 / $1,340.19	Professional		$835.61	$1,062.73	$1,340.19
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 $617.83 / $798.60 / $1,833.15	Professional		$617.83	$798.60	$1,833.15