Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $8,934.00 / $20,509.00	Facility		$2,616.00	$8,934.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $667.23 / $776.89 / $4,177.27	Professional		$667.23	$776.89	$4,177.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,566.00 / $9,830.00 / $24,019.00	Facility		$3,566.00	$9,830.00	$24,019.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $807.81 / $1,107.07 / $2,207.31	Professional		$807.81	$1,107.07	$2,207.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $13,613.98	Facility		$66.00	$100.00	$13,613.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $548.55 / $783.72 / $1,792.42	Professional		$548.55	$783.72	$1,792.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $19,321.00 / $31,647.22	Facility		$3,203.00	$19,321.00	$31,647.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $730.19 / $979.45 / $2,159.17	Professional		$730.19	$979.45	$2,159.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $632.54 / $931.99 / $1,258.19	Professional		$632.54	$931.99	$1,258.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $767.49 / $1,047.16 / $1,876.09	Professional		$767.49	$1,047.16	$1,876.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $3,756.20 / $51,033.70	Facility		$2,000.00	$3,756.20	$51,033.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,800.64 / $5,914.16 / $6,914.25	Professional		$5,800.64	$5,914.16	$6,914.25
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 $820.26 / $1,033.47 / $1,511.65	Facility		$820.26	$1,033.47	$1,511.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $742.42 / $1,017.85 / $2,110.67	Professional		$742.42	$1,017.85	$2,110.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,591.92 / $2,591.92 / $2,591.92	Professional		$2,591.92	$2,591.92	$2,591.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $752.16 / $948.81 / $1,196.52	Professional		$752.16	$948.81	$1,196.52
United Facility/Professional Facility Modifier Low / Median / High Price $6,142.00 / $12,440.00 / $28,228.00	Facility		$6,142.00	$12,440.00	$28,228.00
United Facility/Professional Professional Modifier Low / Median / High Price $622.08 / $811.61 / $1,753.12	Professional		$622.08	$811.61	$1,753.12