Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,956.72 / $7,631.00 / $18,309.00	Facility		$1,956.72	$7,631.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $603.62 / $710.50 / $2,707.40	Professional		$603.62	$710.50	$2,707.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $8,484.00 / $17,774.00	Facility		$2,776.00	$8,484.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $722.70 / $989.22 / $1,990.42	Professional		$722.70	$989.22	$1,990.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,677.87	Facility		$66.00	$100.00	$9,677.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $612.35 / $874.78 / $1,936.22	Professional		$612.35	$874.78	$1,936.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $3,101.23 / $5,554.45	Facility		$2,813.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $715.31 / $935.28 / $2,053.85	Professional		$715.31	$935.28	$2,053.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $925.12 / $1,248.91	Professional		$337.30	$925.12	$1,248.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $731.93 / $1,001.51 / $1,812.05	Professional		$731.93	$1,001.51	$1,812.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,802.16 / $8,957.00 / $26,542.00	Facility		$2,802.16	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,439.20 / $5,622.08 / $6,474.08	Professional		$5,439.20	$5,622.08	$6,474.08
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 $765.21 / $988.39 / $1,348.49	Facility		$765.21	$988.39	$1,348.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $721.41 / $1,018.45 / $2,000.44	Professional		$721.41	$1,018.45	$2,000.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,391.03 / $2,391.03 / $2,391.03	Professional		$2,391.03	$2,391.03	$2,391.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $438.49 / $723.12 / $1,027.43	Professional		$438.49	$723.12	$1,027.43
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 $563.22 / $741.95 / $1,587.23	Professional		$563.22	$741.95	$1,587.23