Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,587.51 / $6,631.00 / $17,701.00	Facility		$1,587.51	$6,631.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $756.05 / $858.64 / $3,531.08	Professional		$756.05	$858.64	$3,531.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $969.90 / $1,254.20 / $2,499.92	Professional		$969.90	$1,254.20	$2,499.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,343.54	Facility		$66.00	$100.00	$8,343.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $700.21 / $1,003.78 / $2,279.46	Professional		$700.21	$1,003.78	$2,279.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,101.23 / $5,554.45	Facility		$2,277.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $880.51 / $1,115.14 / $2,387.60	Professional		$880.51	$1,115.14	$2,387.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $1,028.86 / $1,388.97	Professional		$505.96	$1,028.86	$1,388.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $821.30 / $1,155.79 / $2,133.04	Professional		$821.30	$1,155.79	$2,133.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,144.60 / $8,957.00 / $26,542.00	Facility		$4,144.60	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,402.56 / $6,535.04 / $7,627.95	Professional		$6,402.56	$6,535.04	$7,627.95
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 $925.00 / $1,161.19 / $1,637.61	Facility		$925.00	$1,161.19	$1,637.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $880.68 / $1,189.48 / $2,356.77	Professional		$880.68	$1,189.48	$2,356.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,858.84 / $2,858.84 / $2,858.84	Professional		$2,858.84	$2,858.84	$2,858.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $657.74 / $910.72 / $1,141.75	Professional		$657.74	$910.72	$1,141.75
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 $692.78 / $917.04 / $1,951.16	Professional		$692.78	$917.04	$1,951.16