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 $695.10 / $807.88 / $4,337.33	Professional		$695.10	$807.88	$4,337.33
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 $928.06 / $1,171.33 / $2,338.69	Professional		$928.06	$1,171.33	$2,338.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,377.87	Facility		$66.00	$100.00	$10,377.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $653.30 / $937.31 / $2,132.50	Professional		$653.30	$937.31	$2,132.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $6,894.76 / $12,348.83	Facility		$2,813.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $827.48 / $1,044.18 / $2,242.06	Professional		$827.48	$1,044.18	$2,242.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $632.54 / $973.39 / $1,314.08	Professional		$632.54	$973.39	$1,314.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $797.68 / $1,091.11 / $1,955.95	Professional		$797.68	$1,091.11	$1,955.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,470.08 / $19,913.50 / $26,542.00	Facility		$5,470.08	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,132.77 / $7,132.77 / $7,192.73	Professional		$7,132.77	$7,132.77	$7,192.73
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 $876.09 / $1,095.17 / $1,550.00	Facility		$876.09	$1,095.17	$1,550.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $827.48 / $1,118.49 / $2,220.19	Professional		$827.48	$1,118.49	$2,220.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,691.23 / $2,691.23 / $2,691.23	Professional		$2,691.23	$2,691.23	$2,691.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $785.62 / $948.81 / $1,196.52	Professional		$785.62	$948.81	$1,196.52
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,267.00 / $26,109.00	Facility		$5,799.00	$12,267.00	$26,109.00
United Facility/Professional Professional Modifier Low / Median / High Price $652.94 / $860.40 / $1,814.59	Professional		$652.94	$860.40	$1,814.59