Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,005.84 / $9,674.00 / $22,788.00	Facility		$1,005.84	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $782.42 / $885.45 / $3,557.92	Professional		$782.42	$885.45	$3,557.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $7,007.00 / $15,529.00	Facility		$1,450.00	$7,007.00	$15,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $814.80 / $1,113.78 / $2,317.77	Professional		$814.80	$1,113.78	$2,317.77
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 $748.59 / $1,122.69 / $2,472.69	Professional		$748.59	$1,122.69	$2,472.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $3,461.93 / $10,261.32	Facility		$633.00	$3,461.93	$10,261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $809.75 / $1,114.72 / $2,469.17	Professional		$809.75	$1,114.72	$2,469.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $632.91 / $1,019.39 / $1,376.18	Professional		$632.91	$1,019.39	$1,376.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $821.58 / $1,081.08 / $1,907.29	Professional		$821.58	$1,081.08	$1,907.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $14,442.95 / $16,547.20	Facility		$55.00	$14,442.95	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,218.11 / $9,218.11 / $9,218.11	Professional		$9,218.11	$9,218.11	$9,218.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,196.76	Professional		$32.34	$32.34	$1,196.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $849.61 / $1,095.44 / $1,837.50	Facility		$849.61	$1,095.44	$1,837.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $823.08 / $1,201.64 / $2,322.90	Professional		$823.08	$1,201.64	$2,322.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,718.99 / $2,718.99 / $2,718.99	Professional		$2,718.99	$2,718.99	$2,718.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $632.91 / $926.47 / $1,139.24	Professional		$632.91	$926.47	$1,139.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,570.00 / $11,420.00 / $26,109.00	Facility		$3,570.00	$11,420.00	$26,109.00
United Facility/Professional Professional Modifier Low / Median / High Price $676.67 / $955.80 / $2,138.02	Professional		$676.67	$955.80	$2,138.02