Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,640.00 / $17,701.00	Facility		$1,820.00	$6,640.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $604.04 / $897.00 / $4,774.47	Professional		$604.04	$897.00	$4,774.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,706.00 / $13,707.00	Facility		$2,456.00	$6,706.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $911.47 / $1,237.49 / $2,489.96	Professional		$911.47	$1,237.49	$2,489.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,615.58	Facility		$66.00	$100.00	$7,615.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $561.34 / $807.58 / $1,876.74	Professional		$561.34	$807.58	$1,876.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $938.60 / $940.26 / $2,277.00	Facility		$938.60	$940.26	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $755.07 / $1,043.25 / $2,433.32	Professional		$755.07	$1,043.25	$2,433.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $616.90 / $925.35 / $1,306.43	Professional		$616.90	$925.35	$1,306.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $875.20 / $1,207.26 / $2,173.35	Professional		$875.20	$1,207.26	$2,173.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,396.81 / $7,596.26 / $26,542.00	Facility		$6,396.81	$7,596.26	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,677.28 / $6,816.64 / $8,633.93	Professional		$6,677.28	$6,816.64	$8,633.93
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 $700.99 / $1,136.09 / $1,534.30	Facility		$700.99	$1,136.09	$1,534.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $763.74 / $1,104.69 / $2,459.41	Professional		$763.74	$1,104.69	$2,459.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,962.46 / $2,962.46 / $2,962.46	Professional		$2,962.46	$2,962.46	$2,962.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $801.97 / $950.44 / $1,166.94	Professional		$801.97	$950.44	$1,166.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,371.00 / $2,699.00 / $7,655.00	Facility		$1,371.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $674.84 / $898.55 / $2,254.83	Professional		$674.84	$898.55	$2,254.83