Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,640.00 / $17,701.00	Facility		$1,820.00	$6,640.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.23 / $729.71 / $3,919.36	Professional		$627.23	$729.71	$3,919.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,362.00 / $16,106.00	Facility		$2,456.00	$7,362.00	$16,106.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $842.35 / $1,107.16 / $2,122.71	Professional		$842.35	$1,107.16	$2,122.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,493.03	Facility		$66.00	$100.00	$8,493.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $595.08 / $855.55 / $1,940.17	Professional		$595.08	$855.55	$1,940.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $6,894.76 / $12,348.83	Facility		$2,277.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.53 / $943.83 / $2,035.23	Professional		$750.53	$943.83	$2,035.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $632.91 / $879.58 / $1,197.23	Professional		$632.91	$879.58	$1,197.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $723.01 / $986.14 / $1,767.81	Professional		$723.01	$986.14	$1,767.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,532.85 / $19,913.50 / $26,542.00	Facility		$3,532.85	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,455.60 / $5,560.32 / $6,505.95	Professional		$5,455.60	$5,560.32	$6,505.95
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 $791.80 / $989.98 / $1,477.67	Facility		$791.80	$989.98	$1,477.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $750.61 / $981.83 / $2,004.55	Professional		$750.61	$981.83	$2,004.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,431.87 / $2,431.87 / $2,431.87	Professional		$2,431.87	$2,431.87	$2,431.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $709.89 / $949.37 / $1,197.23	Professional		$709.89	$949.37	$1,197.23
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,313.00 / $26,451.00	Facility		$5,799.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $584.38 / $776.13 / $1,614.25	Professional		$584.38	$776.13	$1,614.25