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 $655.86 / $805.63 / $4,309.49	Professional		$655.86	$805.63	$4,309.49
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 $892.11 / $1,126.91 / $2,246.75	Professional		$892.11	$1,126.91	$2,246.75
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 $702.22 / $1,015.69 / $2,282.52	Professional		$702.22	$1,015.69	$2,282.52
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 $805.31 / $1,041.46 / $2,275.37	Professional		$805.31	$1,041.46	$2,275.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $1,023.94 / $1,382.32	Professional		$505.96	$1,023.94	$1,382.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $801.00 / $1,114.36 / $2,013.42	Professional		$801.00	$1,114.36	$2,013.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,129.68 / $8,957.00 / $26,542.00	Facility		$3,129.68	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,069.44 / $6,258.24 / $7,226.70	Professional		$6,069.44	$6,258.24	$7,226.70
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 $899.84 / $1,115.72 / $1,510.06	Facility		$899.84	$1,115.72	$1,510.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $807.50 / $1,132.56 / $2,225.51	Professional		$807.50	$1,132.56	$2,225.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,673.96 / $2,673.96 / $2,673.96	Professional		$2,673.96	$2,673.96	$2,673.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $657.74 / $893.27 / $1,137.05	Professional		$657.74	$893.27	$1,137.05
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 $633.53 / $834.83 / $1,822.75	Professional		$633.53	$834.83	$1,822.75