Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,231.07 / $8,858.00 / $19,860.00	Facility		$2,231.07	$8,858.00	$19,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $614.52 / $716.77 / $3,839.53	Professional		$614.52	$716.77	$3,839.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $825.70 / $1,096.25 / $2,080.77	Professional		$825.70	$1,096.25	$2,080.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $6,405.97	Facility		$65.80	$100.00	$6,405.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $585.45 / $838.70 / $1,900.06	Professional		$585.45	$838.70	$1,900.06
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 $734.67 / $924.34 / $1,991.49	Professional		$734.67	$924.34	$1,991.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $628.07 / $859.25 / $1,159.99	Professional		$628.07	$859.25	$1,159.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.25 / $964.76 / $1,780.85	Professional		$707.25	$964.76	$1,780.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,459.65 / $26,144.65	Facility		$55.00	$3,459.65	$26,144.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,320.43 / $6,320.43 / $6,370.20	Professional		$6,320.43	$6,320.43	$6,370.20
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 $774.29 / $967.86 / $1,468.48	Facility		$774.29	$967.86	$1,468.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $734.67 / $974.99 / $1,964.12	Professional		$734.67	$974.99	$1,964.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,382.35 / $2,382.35 / $2,382.35	Professional		$2,382.35	$2,382.35	$2,382.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $693.46 / $942.11 / $1,188.07	Professional		$693.46	$942.11	$1,188.07
United Facility/Professional Facility Modifier Low / Median / High Price $4,509.00 / $9,713.00 / $21,278.00	Facility		$4,509.00	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $571.32 / $763.66 / $1,626.12	Professional		$571.32	$763.66	$1,626.12