Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,159.00 / $17,030.00	Facility		$1,919.00	$6,159.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $641.48 / $768.59 / $4,123.34	Professional		$641.48	$768.59	$4,123.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $804.38 / $1,037.65 / $2,081.62	Professional		$804.38	$1,037.65	$2,081.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,269.30	Facility		$66.00	$100.00	$7,269.30
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $585.21 / $849.01 / $1,907.96	Professional		$585.21	$849.01	$1,907.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $3,101.23 / $5,554.45	Facility		$1,992.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $730.51 / $956.21 / $2,092.14	Professional		$730.51	$956.21	$2,092.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $985.04 / $1,083.54 / $2,214.06	Professional		$985.04	$1,083.54	$2,214.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $796.99 / $1,080.51 / $1,948.19	Professional		$796.99	$1,080.51	$1,948.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,051.56 / $8,957.00 / $16,394.00	Facility		$3,051.56	$8,957.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,909.20 / $6,077.36 / $7,041.38	Professional		$5,909.20	$6,077.36	$7,041.38
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 $785.57 / $1,048.20 / $1,428.31	Facility		$785.57	$1,048.20	$1,428.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $743.42 / $1,003.62 / $2,116.13	Professional		$743.42	$1,003.62	$2,116.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,558.44 / $2,558.44 / $2,558.44	Professional		$2,558.44	$2,558.44	$2,558.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $795.38 / $894.81 / $1,093.65	Professional		$795.38	$894.81	$1,093.65
United Facility/Professional Facility Modifier Low / Median / High Price $2,230.00 / $4,213.00 / $9,131.00	Facility		$2,230.00	$4,213.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $607.50 / $787.51 / $1,754.19	Professional		$607.50	$787.51	$1,754.19