Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $6,695.00 / $17,902.00	Facility		$2,197.85	$6,695.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $615.48 / $689.73 / $3,486.35	Professional		$615.48	$689.73	$3,486.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,403.00 / $10,099.00 / $23,679.00	Facility		$3,403.00	$10,099.00	$23,679.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $753.86 / $1,043.51 / $2,003.38	Professional		$753.86	$1,043.51	$2,003.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $12,334.03	Facility		$66.00	$100.00	$12,334.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $449.67 / $696.36 / $1,700.92	Professional		$449.67	$696.36	$1,700.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,725.00 / $25,675.00 / $50,000.00	Facility		$21,725.00	$25,675.00	$50,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $643.29 / $860.35 / $2,618.42	Professional		$643.29	$860.35	$2,618.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $773.86 / $851.25 / $24,111.18	Professional		$773.86	$851.25	$24,111.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $677.88 / $881.24 / $1,578.14	Professional		$677.88	$881.24	$1,578.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,468.44 / $26,542.00 / $97,541.90	Facility		$2,468.44	$26,542.00	$97,541.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,100.00 / $12,100.00 / $12,100.00	Professional		$12,100.00	$12,100.00	$12,100.00
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 $697.11 / $921.80 / $1,498.95	Facility		$697.11	$921.80	$1,498.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $653.51 / $868.19 / $1,893.29	Professional		$653.51	$868.19	$1,893.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,163.19 / $2,163.19 / $2,163.19	Professional		$2,163.19	$2,163.19	$2,163.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $625.02 / $859.40 / $859.40	Professional		$625.02	$859.40	$859.40
United Facility/Professional Facility Modifier Low / Median / High Price $10,108.00 / $20,553.00 / $51,639.00	Facility		$10,108.00	$20,553.00	$51,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $531.44 / $766.60 / $2,176.92	Professional		$531.44	$766.60	$2,176.92