Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,695.00 / $18,101.18	Facility		$1,820.00	$6,695.00	$18,101.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.69 / $772.55 / $4,097.05	Professional		$616.69	$772.55	$4,097.05
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 $767.48 / $1,055.82 / $2,124.41	Professional		$767.48	$1,055.82	$2,124.41
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 $654.79 / $935.41 / $2,066.54	Professional		$654.79	$935.41	$2,066.54
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 $763.98 / $1,006.36 / $2,175.66	Professional		$763.98	$1,006.36	$2,175.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $463.89 / $979.52 / $1,322.35	Professional		$463.89	$979.52	$1,322.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $773.44 / $1,056.93 / $1,914.02	Professional		$773.44	$1,056.93	$1,914.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,950.44 / $8,957.00 / $26,542.00	Facility		$2,950.44	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,729.84 / $5,922.40 / $6,819.38	Professional		$5,729.84	$5,922.40	$6,819.38
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 $852.62 / $1,053.79 / $1,435.52	Facility		$852.62	$1,053.79	$1,435.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $769.87 / $1,085.95 / $2,109.06	Professional		$769.87	$1,085.95	$2,109.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,542.14 / $2,542.14 / $2,542.14	Professional		$2,542.14	$2,542.14	$2,542.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $603.04 / $834.99 / $1,087.93	Professional		$603.04	$834.99	$1,087.93
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,707.00 / $20,988.00	Facility		$4,331.00	$9,707.00	$20,988.00
United Facility/Professional Professional Modifier Low / Median / High Price $600.38 / $796.68 / $1,687.56	Professional		$600.38	$796.68	$1,687.56