Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,090.00 / $18,607.00	Facility		$2,421.00	$8,090.00	$18,607.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $804.25 / $969.77 / $3,573.23	Professional		$804.25	$969.77	$3,573.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $8,484.00 / $16,676.00	Facility		$3,204.00	$8,484.00	$16,676.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.13 / $1,346.34 / $2,641.62	Professional		$977.13	$1,346.34	$2,641.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,063.87	Facility		$66.00	$100.00	$10,063.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $727.61 / $1,039.67 / $2,316.08	Professional		$727.61	$1,039.67	$2,316.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,646.28 / $2,813.00 / $8,500.00	Facility		$1,646.28	$2,813.00	$8,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $913.15 / $1,162.31 / $2,519.65	Professional		$913.15	$1,162.31	$2,519.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $638.12 / $1,076.03 / $1,345.04	Professional		$638.12	$1,076.03	$1,345.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $861.62 / $1,212.39 / $2,237.96	Professional		$861.62	$1,212.39	$2,237.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,366.60 / $5,453.15 / $33,500.00	Facility		$4,366.60	$5,453.15	$33,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,737.20 / $6,866.88 / $8,035.95	Professional		$6,737.20	$6,866.88	$8,035.95
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 $971.85 / $1,219.58 / $1,734.51	Facility		$971.85	$1,219.58	$1,734.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $933.74 / $1,206.65 / $2,478.06	Professional		$933.74	$1,206.65	$2,478.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,018.13 / $3,018.13 / $3,018.13	Professional		$3,018.13	$3,018.13	$3,018.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $829.56 / $976.86 / $1,207.08	Professional		$829.56	$976.86	$1,207.08
United Facility/Professional Facility Modifier Low / Median / High Price $6,142.00 / $12,341.00 / $26,451.00	Facility		$6,142.00	$12,341.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $725.49 / $973.66 / $2,058.36	Professional		$725.49	$973.66	$2,058.36