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 $736.01 / $913.06 / $4,832.59	Professional		$736.01	$913.06	$4,832.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,362.00 / $16,106.00	Facility		$2,456.00	$7,362.00	$16,106.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $941.19 / $1,257.50 / $2,530.19	Professional		$941.19	$1,257.50	$2,530.19
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 $778.18 / $1,111.69 / $2,460.63	Professional		$778.18	$1,111.69	$2,460.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $9,361.12 / $16,766.18	Facility		$2,277.00	$9,361.12	$16,766.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $904.38 / $1,194.03 / $2,568.81	Professional		$904.38	$1,194.03	$2,568.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $842.89 / $1,130.21 / $1,594.43	Professional		$842.89	$1,130.21	$1,594.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $894.86 / $1,226.99 / $2,218.33	Professional		$894.86	$1,226.99	$2,218.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,439.80 / $26,542.00 / $27,036.85	Facility		$3,439.80	$26,542.00	$27,036.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,674.16 / $6,900.24 / $7,944.53	Professional		$6,674.16	$6,900.24	$7,944.53
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 $966.00 / $1,226.11 / $1,694.83	Facility		$966.00	$1,226.11	$1,694.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $912.80 / $1,261.85 / $2,493.98	Professional		$912.80	$1,261.85	$2,493.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,998.52 / $2,998.52 / $2,998.52	Professional		$2,998.52	$2,998.52	$2,998.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $912.82 / $1,255.13 / $1,594.42	Professional		$912.82	$1,255.13	$1,594.42
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,759.00 / $21,278.00	Facility		$5,116.00	$9,759.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $712.04 / $942.49 / $2,050.96	Professional		$712.04	$942.49	$2,050.96