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 $707.81 / $845.85 / $4,497.39	Professional		$707.81	$845.85	$4,497.39
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 $890.24 / $1,171.26 / $2,356.69	Professional		$890.24	$1,171.26	$2,356.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,393.26	Facility		$66.00	$100.00	$8,393.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $732.80 / $1,060.49 / $2,382.10	Professional		$732.80	$1,060.49	$2,382.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $6,894.76 / $12,348.83	Facility		$2,277.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $840.38 / $1,084.85 / $2,364.33	Professional		$840.38	$1,084.85	$2,364.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $527.17 / $1,061.82 / $1,433.46	Professional		$527.17	$1,061.82	$1,433.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $829.29 / $1,158.51 / $2,091.73	Professional		$829.29	$1,158.51	$2,091.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,259.12 / $19,913.50 / $26,542.00	Facility		$3,259.12	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,318.72 / $6,514.80 / $7,523.10	Professional		$6,318.72	$6,514.80	$7,523.10
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 $928.19 / $1,149.19 / $1,568.80	Facility		$928.19	$1,149.19	$1,568.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $844.28 / $1,176.52 / $2,318.48	Professional		$844.28	$1,176.52	$2,318.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,790.55 / $2,790.55 / $2,790.55	Professional		$2,790.55	$2,790.55	$2,790.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $685.33 / $930.74 / $1,179.06	Professional		$685.33	$930.74	$1,179.06
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,758.00 / $20,988.00	Facility		$4,523.00	$9,758.00	$20,988.00
United Facility/Professional Professional Modifier Low / Median / High Price $660.15 / $880.20 / $1,864.53	Professional		$660.15	$880.20	$1,864.53