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 $516.80 / $598.25 / $3,235.56	Professional		$516.80	$598.25	$3,235.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,644.00 / $18,544.00	Facility		$3,028.00	$9,644.00	$18,544.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $702.88 / $955.37 / $1,771.26	Professional		$702.88	$955.37	$1,771.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,793.11	Facility		$66.00	$100.00	$11,793.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $492.09 / $705.80 / $1,569.97	Professional		$492.09	$705.80	$1,569.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $10,440.83 / $18,699.99	Facility		$3,203.00	$10,440.83	$18,699.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $590.01 / $776.77 / $1,677.28	Professional		$590.01	$776.77	$1,677.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $555.10 / $836.18 / $1,128.83	Professional		$555.10	$836.18	$1,128.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $686.51 / $936.57 / $1,679.35	Professional		$686.51	$936.57	$1,679.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,682.12 / $26,542.00 / $30,155.25	Facility		$2,682.12	$26,542.00	$30,155.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,679.29 / $7,679.29 / $7,679.29	Professional		$7,679.29	$7,679.29	$7,679.29
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 $715.01 / $916.01 / $1,419.21	Facility		$715.01	$916.01	$1,419.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $603.15 / $812.41 / $1,630.78	Professional		$603.15	$812.41	$1,630.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,007.60 / $2,007.60 / $2,007.60	Professional		$2,007.60	$2,007.60	$2,007.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $674.88 / $832.65 / $1,050.04	Professional		$674.88	$832.65	$1,050.04
United Facility/Professional Facility Modifier Low / Median / High Price $6,142.00 / $12,377.00 / $26,451.00	Facility		$6,142.00	$12,377.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $477.64 / $626.98 / $1,361.24	Professional		$477.64	$626.98	$1,361.24