Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,587.51 / $6,631.00 / $17,701.00	Facility		$1,587.51	$6,631.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.22 / $942.09 / $5,050.96	Professional		$766.22	$942.09	$5,050.96
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 $1,010.71 / $1,295.27 / $2,546.98	Professional		$1,010.71	$1,295.27	$2,546.98
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 $758.44 / $1,083.48 / $2,473.63	Professional		$758.44	$1,083.48	$2,473.63
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 $925.21 / $1,193.06 / $2,626.85	Professional		$925.21	$1,193.06	$2,626.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $1,175.60 / $1,587.07	Professional		$505.96	$1,175.60	$1,587.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $922.72 / $1,291.19 / $2,408.63	Professional		$922.72	$1,291.19	$2,408.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,648.84 / $8,957.00 / $26,542.00	Facility		$3,648.84	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,067.68 / $7,284.40 / $8,416.04	Professional		$7,067.68	$7,284.40	$8,416.04
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 $1,005.33 / $1,256.68 / $1,792.65	Facility		$1,005.33	$1,256.68	$1,792.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $947.55 / $1,285.02 / $2,591.08	Professional		$947.55	$1,285.02	$2,591.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,134.04 / $3,134.04 / $3,134.04	Professional		$3,134.04	$3,134.04	$3,134.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $657.74 / $949.26 / $1,305.23	Professional		$657.74	$949.26	$1,305.23
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 $743.85 / $968.33 / $2,149.26	Professional		$743.85	$968.33	$2,149.26