Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $6,695.00 / $17,902.00	Facility		$2,197.85	$6,695.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $852.76 / $931.41 / $5,564.50	Professional		$852.76	$931.41	$5,564.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,166.00 / $15,328.00	Facility		$2,629.00	$7,166.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,020.17 / $1,367.57 / $3,059.74	Professional		$1,020.17	$1,367.57	$3,059.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,208.49	Facility		$66.00	$100.00	$8,208.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $689.31 / $1,086.55 / $2,625.28	Professional		$689.31	$1,086.55	$2,625.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,685.47 / $4,355.56 / $10,261.32	Facility		$3,685.47	$4,355.56	$10,261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $880.42 / $1,333.56 / $3,418.42	Professional		$880.42	$1,333.56	$3,418.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $235.29 / $356.06 / $1,808.84	Professional		$235.29	$356.06	$1,808.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,105.78 / $1,470.70 / $2,588.42	Professional		$1,105.78	$1,470.70	$2,588.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,888.28 / $16,547.20 / $26,542.00	Facility		$5,888.28	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,666.16 / $7,949.36 / $9,071.85	Professional		$7,666.16	$7,949.36	$9,071.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $193.39 / $193.39 / $193.39	Professional		$193.39	$193.39	$193.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $734.10 / $1,314.42 / $1,942.83	Facility		$734.10	$1,314.42	$1,942.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $880.67 / $1,410.89 / $2,967.81	Professional		$880.67	$1,410.89	$2,967.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,452.67 / $3,452.67 / $3,452.67	Professional		$3,452.67	$3,452.67	$3,452.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $235.29 / $338.82 / $1,488.80	Professional		$235.29	$338.82	$1,488.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $773.34 / $1,189.19 / $3,168.29	Professional		$773.34	$1,189.19	$3,168.29