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 $737.70 / $870.42 / $4,581.20	Professional		$737.70	$870.42	$4,581.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,231.00 / $22,314.29	Facility		$2,456.00	$7,231.00	$22,314.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,024.18 / $1,392.09 / $2,545.91	Professional		$1,024.18	$1,392.09	$2,545.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $7,366.65	Facility		$64.40	$100.00	$7,366.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $866.22 / $1,237.46 / $2,639.43	Professional		$866.22	$1,237.46	$2,639.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,681.00 / $2,681.00 / $2,681.00	Facility		$2,681.00	$2,681.00	$2,681.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $895.78 / $1,217.35 / $2,381.30	Professional		$895.78	$1,217.35	$2,381.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $632.54 / $957.22 / $1,247.83	Professional		$632.54	$957.22	$1,247.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $803.03 / $1,128.94 / $2,024.48	Professional		$803.03	$1,128.94	$2,024.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,007.55 / $5,118.00	Facility		$55.00	$5,007.55	$5,118.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,777.50 / $7,001.16 / $7,520.85	Professional		$6,777.50	$7,001.16	$7,520.85
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 $920.22 / $1,197.91 / $1,650.00	Facility		$920.22	$1,197.91	$1,650.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $912.86 / $1,253.30 / $2,339.69	Professional		$912.86	$1,253.30	$2,339.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,842.54 / $2,842.54 / $2,842.54	Professional		$2,842.54	$2,842.54	$2,842.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $805.46 / $948.81 / $1,196.52	Professional		$805.46	$948.81	$1,196.52
United Facility/Professional Facility Modifier Low / Median / High Price $5,478.00 / $12,313.00 / $26,451.00	Facility		$5,478.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $698.58 / $939.06 / $1,920.60	Professional		$698.58	$939.06	$1,920.60