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 $744.72 / $868.01 / $4,646.18	Professional		$744.72	$868.01	$4,646.18
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 $912.56 / $1,211.94 / $2,426.69	Professional		$912.56	$1,211.94	$2,426.69
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 $756.97 / $1,095.83 / $2,451.94	Professional		$756.97	$1,095.83	$2,451.94
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 $866.97 / $1,117.20 / $2,434.98	Professional		$866.97	$1,117.20	$2,434.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $1,091.83 / $1,473.98	Professional		$421.82	$1,091.83	$1,473.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $853.92 / $1,193.45 / $2,153.71	Professional		$853.92	$1,193.45	$2,153.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,361.36 / $8,957.00 / $26,542.00	Facility		$3,361.36	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,516.40 / $6,720.88 / $7,756.58	Professional		$6,516.40	$6,720.88	$7,756.58
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 $964.01 / $1,201.02 / $1,615.28	Facility		$964.01	$1,201.02	$1,615.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $872.28 / $1,211.86 / $2,392.48	Professional		$872.28	$1,211.86	$2,392.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,882.87 / $2,882.87 / $2,882.87	Professional		$2,882.87	$2,882.87	$2,882.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $548.36 / $881.70 / $1,212.33	Professional		$548.36	$881.70	$1,212.33
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 $682.57 / $907.24 / $1,978.99	Professional		$682.57	$907.24	$1,978.99