Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,870.00 / $19,368.00	Facility		$2,421.00	$8,870.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $479.29 / $561.16 / $3,071.22	Professional		$479.29	$561.16	$3,071.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,140.00 / $14,981.00	Facility		$2,456.00	$7,140.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $709.64 / $896.72 / $1,697.63	Professional		$709.64	$896.72	$1,697.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $20,013.65	Facility		$66.00	$100.00	$20,013.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $434.22 / $627.51 / $1,423.38	Professional		$434.22	$627.51	$1,423.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,816.42 / $1,819.64 / $5,980.00	Facility		$1,816.42	$1,819.64	$5,980.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $554.05 / $715.18 / $1,576.89	Professional		$554.05	$715.18	$1,576.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $706.32 / $744.60 / $1,296.80	Professional		$706.32	$744.60	$1,296.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $576.79 / $790.51 / $1,409.94	Professional		$576.79	$790.51	$1,409.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,326.82 / $6,524.00 / $26,542.00	Facility		$3,326.82	$6,524.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,224.15 / $8,224.15 / $8,224.15	Professional		$8,224.15	$8,224.15	$8,224.15
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 $624.54 / $777.50 / $1,204.09	Facility		$624.54	$777.50	$1,204.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $557.87 / $754.39 / $1,533.65	Professional		$557.87	$754.39	$1,533.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,905.62 / $1,905.62 / $1,905.62	Professional		$1,905.62	$1,905.62	$1,905.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $570.64 / $784.63 / $1,265.82	Professional		$570.64	$784.63	$1,265.82
United Facility/Professional Facility Modifier Low / Median / High Price $4,244.00 / $9,713.00 / $21,278.00	Facility		$4,244.00	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $452.52 / $592.55 / $1,269.92	Professional		$452.52	$592.55	$1,269.92