Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,159.00 / $17,030.00	Facility		$1,919.00	$6,159.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $543.27 / $770.61 / $4,231.85	Professional		$543.27	$770.61	$4,231.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,400.00	Facility		$2,137.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $785.26 / $1,015.23 / $1,978.84	Professional		$785.26	$1,015.23	$1,978.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,919.63	Facility		$66.00	$100.00	$6,919.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $469.41 / $672.70 / $1,564.58	Professional		$469.41	$672.70	$1,564.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,816.42 / $1,819.64 / $3,253.30	Facility		$1,816.42	$1,819.64	$3,253.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $582.85 / $887.01 / $2,108.00	Professional		$582.85	$887.01	$2,108.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $539.84 / $955.18 / $1,289.49	Professional		$539.84	$955.18	$1,289.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $787.40 / $1,088.28 / $1,966.22	Professional		$787.40	$1,088.28	$1,966.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,920.89 / $10,653.06 / $16,394.00	Facility		$8,920.89	$10,653.06	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,511.95 / $6,511.95 / $7,653.38	Professional		$6,511.95	$6,511.95	$7,653.38
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 $743.86 / $1,041.16 / $1,464.00	Facility		$743.86	$1,041.16	$1,464.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $601.24 / $946.03 / $2,157.17	Professional		$601.24	$946.03	$2,157.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,625.78 / $2,625.78 / $2,625.78	Professional		$2,625.78	$2,625.78	$2,625.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $701.79 / $865.54 / $1,057.88	Professional		$701.79	$865.54	$1,057.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,048.00 / $4,060.00 / $9,131.00	Facility		$2,048.00	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $550.52 / $769.27 / $1,807.67	Professional		$550.52	$769.27	$1,807.67