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 $753.97 / $878.49 / $4,717.50	Professional		$753.97	$878.49	$4,717.50
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 $979.26 / $1,283.49 / $2,467.73	Professional		$979.26	$1,283.49	$2,467.73
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 $703.79 / $1,009.72 / $2,298.37	Professional		$703.79	$1,009.72	$2,298.37
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 $857.15 / $1,127.23 / $2,441.57	Professional		$857.15	$1,127.23	$2,441.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $699.92 / $1,051.42 / $1,419.42	Professional		$699.92	$1,051.42	$1,419.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.20 / $1,182.14 / $2,117.50	Professional		$851.20	$1,182.14	$2,117.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,938.59 / $8,957.00 / $26,542.00	Facility		$5,938.59	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,551.12 / $6,684.16 / $7,806.83	Professional		$6,551.12	$6,684.16	$7,806.83
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 $946.20 / $1,175.49 / $1,682.27	Facility		$946.20	$1,175.49	$1,682.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $859.05 / $1,181.40 / $2,415.17	Professional		$859.05	$1,181.40	$2,415.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,927.13 / $2,927.13 / $2,927.13	Professional		$2,927.13	$2,927.13	$2,927.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $848.54 / $1,049.89 / $1,323.99	Professional		$848.54	$1,049.89	$1,323.99
United Facility/Professional Facility Modifier Low / Median / High Price $5,416.00 / $12,313.00 / $26,451.00	Facility		$5,416.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $702.81 / $937.08 / $2,010.80	Professional		$702.81	$937.08	$2,010.80