Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,870.00 / $19,368.00	Facility		$2,421.00	$8,870.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $715.00 / $836.19 / $4,489.02	Professional		$715.00	$836.19	$4,489.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,644.00 / $13,974.00 / $37,078.55	Facility		$4,644.00	$13,974.00	$37,078.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $927.46 / $1,186.34 / $2,311.15	Professional		$927.46	$1,186.34	$2,311.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,509.60	Facility		$64.40	$100.00	$5,509.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $641.57 / $919.77 / $2,095.23	Professional		$641.57	$919.77	$2,095.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $809.51 / $1,054.05 / $2,250.48	Professional		$809.51	$1,054.05	$2,250.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $760.61 / $1,004.36 / $1,355.89	Professional		$760.61	$1,004.36	$1,355.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.22 / $1,127.23 / $2,020.04	Professional		$812.22	$1,127.23	$2,020.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,922.42 / $9,105.29	Facility		$55.00	$8,922.42	$9,105.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,235.13 / $7,235.13 / $7,435.65	Professional		$7,235.13	$7,235.13	$7,435.65
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 $902.47 / $1,115.40 / $1,716.00	Facility		$902.47	$1,115.40	$1,716.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $821.67 / $1,123.27 / $2,249.90	Professional		$821.67	$1,123.27	$2,249.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,785.35 / $2,785.35 / $2,785.35	Professional		$2,785.35	$2,785.35	$2,785.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $810.59 / $1,114.56 / $1,438.78	Professional		$810.59	$1,114.56	$1,438.78
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $29,312.00	Facility		$7,212.00	$13,651.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $668.25 / $878.02 / $1,901.39	Professional		$668.25	$878.02	$1,901.39