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 $666.78 / $775.97 / $4,165.37	Professional		$666.78	$775.97	$4,165.37
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 $874.81 / $1,105.08 / $2,195.82	Professional		$874.81	$1,105.08	$2,195.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,035.69	Facility		$66.00	$100.00	$11,035.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $616.87 / $886.44 / $2,012.18	Professional		$616.87	$886.44	$2,012.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $9,812.62 / $17,574.86	Facility		$2,813.00	$9,812.62	$17,574.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.54 / $992.74 / $2,149.03	Professional		$776.54	$992.74	$2,149.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $650.78 / $936.28 / $1,263.98	Professional		$650.78	$936.28	$1,263.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $769.08 / $1,049.10 / $1,880.98	Professional		$769.08	$1,049.10	$1,880.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,756.80 / $26,542.00 / $28,340.90	Facility		$3,756.80	$26,542.00	$28,340.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,802.72 / $5,915.04 / $6,918.23	Professional		$5,802.72	$5,915.04	$6,918.23
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 $842.51 / $1,038.18 / $1,568.07	Facility		$842.51	$1,038.18	$1,568.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $789.54 / $1,044.85 / $2,129.09	Professional		$789.54	$1,044.85	$2,129.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,584.53 / $2,584.53 / $2,584.53	Professional		$2,584.53	$2,584.53	$2,584.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $755.66 / $976.17 / $1,231.03	Professional		$755.66	$976.17	$1,231.03
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,555.00 / $29,312.00	Facility		$7,212.00	$13,555.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $619.65 / $811.60 / $1,764.99	Professional		$619.65	$811.60	$1,764.99