Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,956.72 / $7,631.00 / $18,309.00	Facility		$1,956.72	$7,631.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.03 / $876.77 / $4,804.80	Professional		$766.03	$876.77	$4,804.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $11,276.00 / $22,145.00	Facility		$3,585.00	$11,276.00	$22,145.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $983.63 / $1,322.40 / $2,476.67	Professional		$983.63	$1,322.40	$2,476.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $6,405.97	Facility		$66.09	$100.00	$6,405.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $743.57 / $1,062.29 / $2,366.98	Professional		$743.57	$1,062.29	$2,366.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $6,894.76 / $12,348.83	Facility		$2,277.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.47 / $1,152.96 / $2,492.11	Professional		$891.47	$1,152.96	$2,492.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $754.65 / $1,061.69 / $1,433.28	Professional		$754.65	$1,061.69	$1,433.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $861.47 / $1,196.49 / $2,208.55	Professional		$861.47	$1,196.49	$2,208.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,171.39 / $19,913.50	Facility		$55.00	$5,171.39	$19,913.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,927.80 / $11,926.99 / $11,926.99	Professional		$7,927.80	$11,926.99	$11,926.99
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 $974.41 / $1,213.47 / $1,849.95	Facility		$974.41	$1,213.47	$1,849.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $922.20 / $1,210.99 / $2,452.90	Professional		$922.20	$1,210.99	$2,452.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,981.28 / $2,981.28 / $2,981.28	Professional		$2,981.28	$2,981.28	$2,981.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $856.76 / $1,131.98 / $1,427.51	Professional		$856.76	$1,131.98	$1,427.51
United Facility/Professional Facility Modifier Low / Median / High Price $4,509.00 / $9,707.00 / $20,988.00	Facility		$4,509.00	$9,707.00	$20,988.00
United Facility/Professional Professional Modifier Low / Median / High Price $701.47 / $953.50 / $2,018.71	Professional		$701.47	$953.50	$2,018.71