Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,924.00 / $20,509.00	Facility		$2,421.00	$8,924.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $592.88 / $693.19 / $3,188.00	Professional		$592.88	$693.19	$3,188.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $5,955.00 / $13,707.00	Facility		$2,097.00	$5,955.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $730.64 / $1,011.61 / $1,978.11	Professional		$730.64	$1,011.61	$1,978.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $6,340.69	Facility		$65.80	$100.00	$6,340.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $496.45 / $722.78 / $1,684.66	Professional		$496.45	$722.78	$1,684.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $664.60 / $4,270.41 / $13,360.00	Facility		$664.60	$4,270.41	$13,360.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $649.26 / $858.79 / $1,918.58	Professional		$649.26	$858.79	$1,918.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $559.57 / $738.15 / $996.50	Professional		$559.57	$738.15	$996.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $622.00 / $810.61 / $1,485.92	Professional		$622.00	$810.61	$1,485.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $5,027.60 / $16,223.75	Facility		$2,800.00	$5,027.60	$16,223.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,765.76 / $4,870.32 / $5,816.10	Professional		$4,765.76	$4,870.32	$5,816.10
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 $643.74 / $829.33 / $1,293.70	Facility		$643.74	$829.33	$1,293.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $660.61 / $911.70 / $1,803.29	Professional		$660.61	$911.70	$1,803.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,150.67 / $2,150.67 / $2,150.67	Professional		$2,150.67	$2,150.67	$2,150.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $559.57 / $783.39 / $839.35	Professional		$559.57	$783.39	$839.35
United Facility/Professional Facility Modifier Low / Median / High Price $4,169.00 / $13,116.00 / $29,312.00	Facility		$4,169.00	$13,116.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $546.28 / $760.91 / $1,676.45	Professional		$546.28	$760.91	$1,676.45