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 $682.29 / $797.92 / $4,255.31	Professional		$682.29	$797.92	$4,255.31
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 $850.02 / $1,171.36 / $2,311.83	Professional		$850.02	$1,171.36	$2,311.83
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 $653.24 / $936.91 / $2,105.52	Professional		$653.24	$936.91	$2,105.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $19,321.00 / $33,728.71	Facility		$3,203.00	$19,321.00	$33,728.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $783.33 / $1,018.54 / $2,214.63	Professional		$783.33	$1,018.54	$2,214.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $776.99 / $951.92 / $1,469.78	Professional		$776.99	$951.92	$1,469.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $784.31 / $1,070.33 / $1,917.21	Professional		$784.31	$1,070.33	$1,917.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,840.95 / $26,542.00 / $54,390.30	Facility		$3,840.95	$26,542.00	$54,390.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,620.93 / $6,620.93 / $7,069.13	Professional		$6,620.93	$6,620.93	$7,069.13
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 $858.61 / $1,083.64 / $1,709.40	Facility		$858.61	$1,083.64	$1,709.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $817.11 / $1,063.45 / $2,181.56	Professional		$817.11	$1,063.45	$2,181.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,640.34 / $2,640.34 / $2,640.34	Professional		$2,640.34	$2,640.34	$2,640.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $776.99 / $1,056.32 / $1,469.77	Professional		$776.99	$1,056.32	$1,469.77
United Facility/Professional Facility Modifier Low / Median / High Price $6,142.00 / $12,434.00 / $26,451.00	Facility		$6,142.00	$12,434.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $643.72 / $847.02 / $1,801.39	Professional		$643.72	$847.02	$1,801.39