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 $671.69 / $825.30 / $4,410.18	Professional		$671.69	$825.30	$4,410.18
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 $897.44 / $1,148.03 / $2,303.80	Professional		$897.44	$1,148.03	$2,303.80
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 $723.54 / $1,046.52 / $2,340.66	Professional		$723.54	$1,046.52	$2,340.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $9,527.09 / $17,063.43	Facility		$2,277.00	$9,527.09	$17,063.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $824.03 / $1,073.84 / $2,321.58	Professional		$824.03	$1,073.84	$2,321.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $1,043.86 / $1,409.22	Professional		$421.82	$1,043.86	$1,409.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $814.54 / $1,137.54 / $2,054.54	Professional		$814.54	$1,137.54	$2,054.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,197.44 / $26,542.00 / $27,516.20	Facility		$3,197.44	$26,542.00	$27,516.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,200.32 / $6,392.96 / $7,381.58	Professional		$6,200.32	$6,392.96	$7,381.58
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 $910.94 / $1,121.17 / $1,540.90	Facility		$910.94	$1,121.17	$1,540.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $839.53 / $1,155.64 / $2,273.30	Professional		$839.53	$1,155.64	$2,273.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,736.43 / $2,736.43 / $2,736.43	Professional		$2,736.43	$2,736.43	$2,736.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $548.36 / $843.02 / $1,159.15	Professional		$548.36	$843.02	$1,159.15
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 $647.14 / $862.57 / $1,828.02	Professional		$647.14	$862.57	$1,828.02