Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,648.00 / $18,309.00	Facility		$1,992.00	$7,648.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.94 / $791.41 / $4,223.39	Professional		$666.94	$791.41	$4,223.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $9,030.00 / $17,774.00	Facility		$2,776.00	$9,030.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $885.08 / $1,113.71 / $2,229.71	Professional		$885.08	$1,113.71	$2,229.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,150.11	Facility		$66.00	$100.00	$10,150.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $709.41 / $1,025.18 / $2,270.21	Professional		$709.41	$1,025.18	$2,270.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $8,738.87 / $15,651.72	Facility		$2,813.00	$8,738.87	$15,651.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $797.44 / $1,042.79 / $2,256.76	Professional		$797.44	$1,042.79	$2,256.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $1,013.25 / $1,367.89	Professional		$421.82	$1,013.25	$1,367.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $801.00 / $1,101.84 / $1,991.20	Professional		$801.00	$1,101.84	$1,991.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,092.60 / $25,239.65 / $26,542.00	Facility		$3,092.60	$25,239.65	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,998.96 / $6,185.76 / $7,141.28	Professional		$5,998.96	$6,185.76	$7,141.28
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 $887.52 / $1,093.31 / $1,494.65	Facility		$887.52	$1,093.31	$1,494.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $802.74 / $1,120.08 / $2,200.31	Professional		$802.74	$1,120.08	$2,200.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,620.54 / $2,620.54 / $2,620.54	Professional		$2,620.54	$2,620.54	$2,620.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $548.36 / $818.33 / $1,125.20	Professional		$548.36	$818.33	$1,125.20
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 $626.35 / $825.01 / $1,811.56	Professional		$626.35	$825.01	$1,811.56