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 $676.34 / $833.78 / $4,440.52	Professional		$676.34	$833.78	$4,440.52
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 $889.54 / $1,157.31 / $2,321.57	Professional		$889.54	$1,157.31	$2,321.57
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 $733.15 / $1,060.02 / $2,354.87	Professional		$733.15	$1,060.02	$2,354.87
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 $826.11 / $1,077.69 / $2,336.76	Professional		$826.11	$1,077.69	$2,336.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $442.66 / $1,050.26 / $1,417.85	Professional		$442.66	$1,050.26	$1,417.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $819.87 / $1,145.22 / $2,068.15	Professional		$819.87	$1,145.22	$2,068.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,221.16 / $8,957.00 / $26,542.00	Facility		$3,221.16	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,243.12 / $6,434.48 / $7,437.68	Professional		$6,243.12	$6,434.48	$7,437.68
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 $882.00 / $1,128.08 / $1,551.12	Facility		$882.00	$1,128.08	$1,551.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $843.42 / $1,162.74 / $2,289.82	Professional		$843.42	$1,162.74	$2,289.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,755.26 / $2,755.26 / $2,755.26	Professional		$2,755.26	$2,755.26	$2,755.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $575.46 / $848.15 / $1,166.21	Professional		$575.46	$848.15	$1,166.21
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 $651.84 / $861.36 / $1,829.00	Professional		$651.84	$861.36	$1,829.00