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 $747.83 / $870.34 / $4,672.97	Professional		$747.83	$870.34	$4,672.97
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 $998.52 / $1,277.76 / $2,516.27	Professional		$998.52	$1,277.76	$2,516.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,943.37	Facility		$66.00	$100.00	$7,943.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $696.20 / $997.78 / $2,271.19	Professional		$696.20	$997.78	$2,271.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,980.00 / $5,980.00 / $5,980.00	Facility		$5,980.00	$5,980.00	$5,980.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $890.78 / $1,124.81 / $2,420.09	Professional		$890.78	$1,124.81	$2,420.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $766.19 / $1,042.64 / $1,407.56	Professional		$766.19	$1,042.64	$1,407.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $843.95 / $1,171.95 / $2,099.44	Professional		$843.95	$1,171.95	$2,099.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,205.00 / $27,714.40	Facility		$55.00	$4,205.00	$27,714.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,294.58 / $7,294.58 / $7,740.23	Professional		$7,294.58	$7,294.58	$7,740.23
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 $940.23 / $1,174.35 / $1,735.62	Facility		$940.23	$1,174.35	$1,735.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $891.68 / $1,198.58 / $2,390.91	Professional		$891.68	$1,198.58	$2,390.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,899.49 / $2,899.49 / $2,899.49	Professional		$2,899.49	$2,899.49	$2,899.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $841.45 / $1,149.29 / $1,449.35	Professional		$841.45	$1,149.29	$1,449.35
United Facility/Professional Facility Modifier Low / Median / High Price $6,366.00 / $13,555.00 / $29,312.00	Facility		$6,366.00	$13,555.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $696.06 / $918.71 / $1,956.01	Professional		$696.06	$918.71	$1,956.01