Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,631.00 / $17,701.00	Facility		$1,820.00	$6,631.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.55 / $862.22 / $4,600.72	Professional		$724.55	$862.22	$4,600.72
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 $925.56 / $1,206.45 / $2,413.50	Professional		$925.56	$1,206.45	$2,413.50
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 $747.94 / $1,082.69 / $2,433.09	Professional		$747.94	$1,082.69	$2,433.09
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 $862.57 / $1,108.14 / $2,437.62	Professional		$862.57	$1,108.14	$2,437.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $783.69 / $1,093.00 / $1,482.45	Professional		$783.69	$1,093.00	$1,482.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $869.83 / $1,194.77 / $2,156.07	Professional		$869.83	$1,194.77	$2,156.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,365.00 / $8,957.00 / $26,542.00	Facility		$3,365.00	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,524.00 / $6,729.92 / $7,764.53	Professional		$6,524.00	$6,729.92	$7,764.53
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 $966.48 / $1,208.58 / $1,631.87	Facility		$966.48	$1,208.58	$1,631.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $872.75 / $1,213.45 / $2,393.23	Professional		$872.75	$1,213.45	$2,393.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,854.67 / $2,854.67 / $2,854.67	Professional		$2,854.67	$2,854.67	$2,854.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $882.65 / $1,175.54 / $1,482.45	Professional		$882.65	$1,175.54	$1,482.45
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,758.00 / $21,278.00	Facility		$4,523.00	$9,758.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $677.32 / $897.84 / $1,957.57	Professional		$677.32	$897.84	$1,957.57