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 $603.90 / $748.66 / $3,994.71	Professional		$603.90	$748.66	$3,994.71
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 $795.03 / $1,032.77 / $2,074.08	Professional		$795.03	$1,032.77	$2,074.08
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 $637.17 / $910.26 / $2,016.46	Professional		$637.17	$910.26	$2,016.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $8,738.87 / $15,651.72	Facility		$2,277.00	$8,738.87	$15,651.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $743.70 / $965.26 / $2,121.37	Professional		$743.70	$965.26	$2,121.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $360.39 / $954.43 / $1,288.48	Professional		$360.39	$954.43	$1,288.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $756.16 / $1,035.58 / $1,872.55	Professional		$756.16	$1,035.58	$1,872.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,901.96 / $25,239.65 / $26,542.00	Facility		$2,901.96	$25,239.65	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,631.76 / $5,818.96 / $6,702.38	Professional		$5,631.76	$5,818.96	$6,702.38
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 $790.61 / $1,021.39 / $1,397.19	Facility		$790.61	$1,021.39	$1,397.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $746.70 / $1,052.32 / $2,069.09	Professional		$746.70	$1,052.32	$2,069.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,478.64 / $2,478.64 / $2,478.64	Professional		$2,478.64	$2,478.64	$2,478.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $468.50 / $770.86 / $1,059.94	Professional		$468.50	$770.86	$1,059.94
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 $584.54 / $779.40 / $1,645.38	Professional		$584.54	$779.40	$1,645.38