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 $667.40 / $792.66 / $4,297.74	Professional		$667.40	$792.66	$4,297.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $11,098.00 / $23,642.59	Facility		$4,314.00	$11,098.00	$23,642.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $927.07 / $1,217.73 / $2,334.55	Professional		$927.07	$1,217.73	$2,334.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,509.60	Facility		$64.40	$100.00	$5,509.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $654.01 / $937.08 / $2,087.52	Professional		$654.01	$937.08	$2,087.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $801.11 / $1,031.95 / $2,201.90	Professional		$801.11	$1,031.95	$2,201.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $711.47 / $964.23 / $1,301.71	Professional		$711.47	$964.23	$1,301.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.70 / $1,084.50 / $1,942.60	Professional		$794.70	$1,084.50	$1,942.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,684.23 / $6,816.88	Facility		$55.00	$6,684.23	$6,816.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,011.92 / $6,130.48 / $7,165.43	Professional		$6,011.92	$6,130.48	$7,165.43
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 $867.86 / $1,087.45 / $1,556.32	Facility		$867.86	$1,087.45	$1,556.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $818.83 / $1,094.66 / $2,163.59	Professional		$818.83	$1,094.66	$2,163.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,666.67 / $2,666.67 / $2,666.67	Professional		$2,666.67	$2,666.67	$2,666.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $778.16 / $1,067.20 / $1,345.82	Professional		$778.16	$1,067.20	$1,345.82
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $29,312.00	Facility		$7,212.00	$13,651.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $640.45 / $853.93 / $1,819.09	Professional		$640.45	$853.93	$1,819.09