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 $728.20 / $846.98 / $4,545.74	Professional		$728.20	$846.98	$4,545.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $8,484.00 / $17,774.00	Facility		$2,776.00	$8,484.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $948.48 / $1,210.91 / $2,442.01	Professional		$948.48	$1,210.91	$2,442.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,907.12	Facility		$66.00	$100.00	$9,907.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $687.65 / $989.10 / $2,247.46	Professional		$687.65	$989.10	$2,247.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $3,101.23 / $5,554.45	Facility		$2,813.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $866.61 / $1,093.86 / $2,344.75	Professional		$866.61	$1,093.86	$2,344.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $674.61 / $1,016.53 / $1,372.32	Professional		$674.61	$1,016.53	$1,372.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $822.22 / $1,141.24 / $2,044.94	Professional		$822.22	$1,141.24	$2,044.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,908.54 / $8,957.00 / $26,542.00	Facility		$4,908.54	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,132.77 / $7,132.77 / $7,527.90	Professional		$7,132.77	$7,132.77	$7,527.90
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 $915.89 / $1,140.96 / $1,627.50	Facility		$915.89	$1,140.96	$1,627.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $868.53 / $1,168.81 / $2,328.01	Professional		$868.53	$1,168.81	$2,328.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,820.55 / $2,820.55 / $2,820.55	Professional		$2,820.55	$2,820.55	$2,820.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $820.42 / $1,011.91 / $1,276.09	Professional		$820.42	$1,011.91	$1,276.09
United Facility/Professional Facility Modifier Low / Median / High Price $5,284.00 / $12,267.00 / $26,109.00	Facility		$5,284.00	$12,267.00	$26,109.00
United Facility/Professional Professional Modifier Low / Median / High Price $678.31 / $902.17 / $1,937.90	Professional		$678.31	$902.17	$1,937.90