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 / $17,538.00	Facility		$1,820.00	$6,695.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.89 / $884.56 / $4,752.26	Professional		$724.89	$884.56	$4,752.26
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 $983.91 / $1,233.93 / $2,471.42	Professional		$983.91	$1,233.93	$2,471.42
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 $756.17 / $1,085.26 / $2,410.69	Professional		$756.17	$1,085.26	$2,410.69
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 $883.00 / $1,139.31 / $2,496.46	Professional		$883.00	$1,139.31	$2,496.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $463.89 / $1,122.16 / $1,514.92	Professional		$463.89	$1,122.16	$1,514.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $876.67 / $1,224.83 / $2,211.26	Professional		$876.67	$1,224.83	$2,211.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,446.76 / $8,957.00 / $26,542.00	Facility		$3,446.76	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,681.68 / $6,887.12 / $7,956.15	Professional		$6,681.68	$6,887.12	$7,956.15
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 $991.37 / $1,222.58 / $1,656.42	Facility		$991.37	$1,222.58	$1,656.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $889.29 / $1,239.22 / $2,447.96	Professional		$889.29	$1,239.22	$2,447.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,948.68 / $2,948.68 / $2,948.68	Professional		$2,948.68	$2,948.68	$2,948.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $603.04 / $906.22 / $1,246.05	Professional		$603.04	$906.22	$1,246.05
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,713.00 / $21,278.00	Facility		$4,331.00	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $713.11 / $930.25 / $2,232.87	Professional		$713.11	$930.25	$2,232.87