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 $685.77 / $790.10 / $4,291.52	Professional		$685.77	$790.10	$4,291.52
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 $881.63 / $1,106.38 / $2,221.69	Professional		$881.63	$1,106.38	$2,221.69
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 $693.46 / $1,003.51 / $2,255.16	Professional		$693.46	$1,003.51	$2,255.16
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 $797.39 / $1,031.91 / $2,266.94	Professional		$797.39	$1,031.91	$2,266.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $400.59 / $1,020.30 / $1,377.41	Professional		$400.59	$1,020.30	$1,377.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $801.00 / $1,110.15 / $2,005.92	Professional		$801.00	$1,110.15	$2,005.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,117.36 / $8,957.00 / $26,542.00	Facility		$3,117.36	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,045.52 / $6,232.32 / $7,198.73	Professional		$6,045.52	$6,232.32	$7,198.73
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 $894.97 / $1,094.14 / $1,493.13	Facility		$894.97	$1,094.14	$1,493.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $803.19 / $1,122.33 / $2,216.82	Professional		$803.19	$1,122.33	$2,216.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,662.79 / $2,662.79 / $2,662.79	Professional		$2,662.79	$2,662.79	$2,662.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $520.77 / $824.02 / $1,133.02	Professional		$520.77	$824.02	$1,133.02
United Facility/Professional Facility Modifier Low / Median / High Price $4,509.00 / $9,699.00 / $20,988.00	Facility		$4,509.00	$9,699.00	$20,988.00
United Facility/Professional Professional Modifier Low / Median / High Price $631.05 / $838.45 / $1,829.66	Professional		$631.05	$838.45	$1,829.66