Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,259.63 / $10,289.00 / $22,788.00	Facility		$2,259.63	$10,289.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $642.84 / $743.02 / $3,787.74	Professional		$642.84	$743.02	$3,787.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,988.00 / $9,590.00 / $20,248.00	Facility		$1,988.00	$9,590.00	$20,248.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $695.33 / $906.92 / $1,816.57	Professional		$695.33	$906.92	$1,816.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $14,865.02	Facility		$67.90	$100.00	$14,865.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $575.69 / $857.34 / $1,919.94	Professional		$575.69	$857.34	$1,919.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $766.00 / $3,685.47 / $10,261.32	Facility		$766.00	$3,685.47	$10,261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $683.67 / $918.75 / $2,022.58	Professional		$683.67	$918.75	$2,022.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $595.67 / $829.74 / $1,126.80	Professional		$595.67	$829.74	$1,126.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.54 / $888.41 / $1,808.83	Professional		$676.54	$888.41	$1,808.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,571.42 / $16,547.20 / $26,542.00	Facility		$4,571.42	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,064.05 / $11,064.05 / $11,064.05	Professional		$11,064.05	$11,064.05	$11,064.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,005.39	Professional		$32.34	$32.34	$1,005.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $701.81 / $928.00 / $1,569.78	Facility		$701.81	$928.00	$1,569.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $683.67 / $984.18 / $1,956.95	Professional		$683.67	$984.18	$1,956.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,350.23 / $2,350.23 / $2,350.23	Professional		$2,350.23	$2,350.23	$2,350.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $595.67 / $833.95 / $1,072.22	Professional		$595.67	$833.95	$1,072.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $11,228.00 / $26,109.00	Facility		$2,673.00	$11,228.00	$26,109.00
United Facility/Professional Professional Modifier Low / Median / High Price $568.98 / $778.96 / $1,797.42	Professional		$568.98	$778.96	$1,797.42