Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,870.00 / $19,368.00	Facility		$2,421.00	$8,870.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.25 / $795.89 / $4,249.04	Professional		$665.25	$795.89	$4,249.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,644.00 / $18,544.00	Facility		$3,028.00	$9,644.00	$18,544.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $842.80 / $1,104.56 / $2,218.55	Professional		$842.80	$1,104.56	$2,218.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,729.10	Facility		$66.00	$100.00	$11,729.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $704.52 / $1,018.59 / $2,263.52	Professional		$704.52	$1,018.59	$2,263.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $6,894.76 / $12,348.83	Facility		$3,203.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.95 / $1,036.85 / $2,244.67	Professional		$794.95	$1,036.85	$2,244.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $1,010.78 / $1,364.55	Professional		$421.82	$1,010.78	$1,364.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $801.00 / $1,098.94 / $1,986.05	Professional		$801.00	$1,098.94	$1,986.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,083.92 / $19,913.50 / $26,542.00	Facility		$3,083.92	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,982.56 / $6,168.88 / $7,121.25	Professional		$5,982.56	$6,168.88	$7,121.25
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 $885.46 / $1,091.77 / $1,490.98	Facility		$885.46	$1,091.77	$1,490.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $796.66 / $1,117.19 / $2,193.36	Professional		$796.66	$1,117.19	$2,193.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,636.45 / $2,636.45 / $2,636.45	Professional		$2,636.45	$2,636.45	$2,636.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $548.36 / $816.34 / $1,122.46	Professional		$548.36	$816.34	$1,122.46
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,713.00 / $21,278.00	Facility		$4,523.00	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $624.38 / $830.17 / $1,835.08	Professional		$624.38	$830.17	$1,835.08