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 $721.82 / $840.37 / $4,750.22	Professional		$721.82	$840.37	$4,750.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,822.00 / $9,447.00 / $18,544.00	Facility		$2,822.00	$9,447.00	$18,544.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $908.72 / $1,226.40 / $2,289.98	Professional		$908.72	$1,226.40	$2,289.98
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 $767.87 / $1,114.52 / $2,504.63	Professional		$767.87	$1,114.52	$2,504.63
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 $869.65 / $1,133.47 / $2,483.40	Professional		$869.65	$1,133.47	$2,483.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $562.54 / $1,114.20 / $1,504.17	Professional		$562.54	$1,114.20	$1,504.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $869.28 / $1,213.94 / $2,192.65	Professional		$869.28	$1,213.94	$2,192.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,411.76 / $8,957.00 / $26,542.00	Facility		$3,411.76	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,646.44 / $6,830.72 / $7,876.65	Professional		$6,646.44	$6,830.72	$7,876.65
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 $926.41 / $1,195.99 / $1,630.93	Facility		$926.41	$1,195.99	$1,630.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $870.10 / $1,232.32 / $2,449.12	Professional		$870.10	$1,232.32	$2,449.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,947.41 / $2,947.41 / $2,947.41	Professional		$2,947.41	$2,947.41	$2,947.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $731.31 / $993.18 / $1,237.26	Professional		$731.31	$993.18	$1,237.26
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 $670.54 / $902.65 / $1,956.55	Professional		$670.54	$902.65	$1,956.55