Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.00 / $9,260.00 / $20,673.00	Facility		$1,174.00	$9,260.00	$20,673.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.17 / $1,532.57 / $2,953.83	Professional		$65.17	$1,532.57	$2,953.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,718.00 / $11,400.00	Facility		$1,546.00	$4,718.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.69 / $275.19 / $4,945.09	Professional		$95.69	$275.19	$4,945.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $15,436.09	Facility		$66.09	$100.00	$15,436.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $73.84 / $308.69 / $4,506.33	Professional		$73.84	$308.69	$4,506.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.97 / $2,151.00 / $6,782.41	Facility		$148.97	$2,151.00	$6,782.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.27 / $408.50 / $4,652.39	Professional		$75.27	$408.50	$4,652.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $91.58 / $2,959.51 / $3,932.60	Professional		$91.58	$2,959.51	$3,932.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.49 / $2,033.49 / $3,949.31	Professional		$84.49	$2,033.49	$3,949.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $396.63 / $3,895.51	Facility		$55.00	$396.63	$3,895.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,572.23 / $17,923.14 / $18,460.84	Professional		$6,572.23	$17,923.14	$18,460.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,431.80	Professional		$32.34	$32.34	$1,431.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.37 / $216.40 / $3,641.68	Facility		$84.37	$216.40	$3,641.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.30 / $1,783.90 / $4,695.43	Professional		$81.30	$1,783.90	$4,695.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $271.61 / $271.61 / $6,643.01	Professional		$271.61	$271.61	$6,643.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $83.01 / $2,650.95 / $5,327.61	Professional		$83.01	$2,650.95	$5,327.61
United Facility/Professional Facility Modifier Low / Median / High Price $6,142.00 / $12,446.00 / $26,672.00	Facility		$6,142.00	$12,446.00	$26,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,542.41 / $2,328.48 / $5,014.12	Professional		$1,542.41	$2,328.48	$5,014.12