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 $688.64 / $801.94 / $4,312.83	Professional		$688.64	$801.94	$4,312.83
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 $834.21 / $1,141.66 / $2,271.23	Professional		$834.21	$1,141.66	$2,271.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,939.24	Facility		$66.00	$100.00	$11,939.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $584.36 / $835.86 / $1,908.90	Professional		$584.36	$835.86	$1,908.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $19,321.00 / $23,331.45	Facility		$3,203.00	$19,321.00	$23,331.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $774.84 / $1,011.02 / $2,228.52	Professional		$774.84	$1,011.02	$2,228.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $744.60 / $960.14 / $1,408.50	Professional		$744.60	$960.14	$1,408.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $791.29 / $1,079.84 / $1,934.26	Professional		$791.29	$1,079.84	$1,934.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,876.40 / $26,542.00 / $37,623.85	Facility		$3,876.40	$26,542.00	$37,623.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,019.94 / $6,102.08 / $7,134.60	Professional		$6,019.94	$6,102.08	$7,134.60
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 $855.04 / $1,068.36 / $1,566.82	Facility		$855.04	$1,068.36	$1,566.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $774.84 / $1,058.64 / $2,185.66	Professional		$774.84	$1,058.64	$2,185.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,676.03 / $2,676.03 / $2,676.03	Professional		$2,676.03	$2,676.03	$2,676.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $774.86 / $1,065.44 / $1,408.50	Professional		$774.86	$1,065.44	$1,408.50
United Facility/Professional Facility Modifier Low / Median / High Price $6,142.00 / $12,377.00 / $26,451.00	Facility		$6,142.00	$12,377.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $642.60 / $855.66 / $1,824.44	Professional		$642.60	$855.66	$1,824.44