Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,631.00 / $17,393.00	Facility		$1,820.00	$6,631.00	$17,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $745.06 / $962.73 / $5,287.32	Professional		$745.06	$962.73	$5,287.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.00 / $8,973.00 / $17,774.00	Facility		$3,388.00	$8,973.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $999.10 / $1,266.08 / $2,541.89	Professional		$999.10	$1,266.08	$2,541.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,436.09	Facility		$66.00	$100.00	$15,436.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $669.56 / $976.31 / $2,284.81	Professional		$669.56	$976.31	$2,284.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $846.66 / $1,103.08 / $2,666.58	Professional		$846.66	$1,103.08	$2,666.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $590.47 / $1,156.34 / $1,387.62	Professional		$590.47	$1,156.34	$1,387.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $924.23 / $1,273.08 / $2,361.92	Professional		$924.23	$1,273.08	$2,361.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $16,547.20	Facility		$55.00	$55.00	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,507.56 / $7,507.56 / $8,538.45	Professional		$7,507.56	$7,507.56	$8,538.45
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 $920.21 / $1,232.30 / $1,629.11	Facility		$920.21	$1,232.30	$1,629.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $855.32 / $1,146.28 / $2,539.69	Professional		$855.32	$1,146.28	$2,539.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,280.69 / $3,280.69 / $3,280.69	Professional		$3,280.69	$3,280.69	$3,280.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $744.63 / $1,031.29 / $1,283.39	Professional		$744.63	$1,031.29	$1,283.39
United Facility/Professional Facility Modifier Low / Median / High Price $6,824.00 / $12,434.00 / $26,451.00	Facility		$6,824.00	$12,434.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $739.16 / $1,016.75 / $2,476.92	Professional		$739.16	$1,016.75	$2,476.92