Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $5,990.00 / $17,030.00	Facility		$1,919.00	$5,990.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $664.39 / $792.95 / $4,132.75	Professional		$664.39	$792.95	$4,132.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $999.51 / $1,258.11 / $7,303.00	Facility		$999.51	$1,258.11	$7,303.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $849.59 / $1,214.22 / $2,246.32	Professional		$849.59	$1,214.22	$2,246.32
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,677.87	Facility		$66.00	$100.00	$9,677.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $609.11 / $875.82 / $1,989.86	Professional		$609.11	$875.82	$1,989.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $3,101.23 / $5,554.45	Facility		$1,992.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $768.42 / $983.59 / $2,142.33	Professional		$768.42	$983.59	$2,142.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $594.55 / $924.90 / $2,214.06	Professional		$594.55	$924.90	$2,214.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $761.29 / $1,038.54 / $1,860.94	Professional		$761.29	$1,038.54	$1,860.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,978.96 / $8,957.00	Facility		$55.00	$2,978.96	$8,957.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,750.88 / $5,862.96 / $6,855.00	Professional		$5,750.88	$5,862.96	$6,855.00
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 $759.40 / $1,004.62 / $1,367.65	Facility		$759.40	$1,004.62	$1,367.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $785.11 / $1,032.09 / $2,113.27	Professional		$785.11	$1,032.09	$2,113.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,564.29 / $2,564.29 / $2,564.29	Professional		$2,564.29	$2,564.29	$2,564.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $746.45 / $839.75 / $1,026.36	Professional		$746.45	$839.75	$1,026.36
United Facility/Professional Facility Modifier Low / Median / High Price $5,197.00 / $9,465.00 / $20,217.00	Facility		$5,197.00	$9,465.00	$20,217.00
United Facility/Professional Professional Modifier Low / Median / High Price $616.99 / $820.44 / $1,731.91	Professional		$616.99	$820.44	$1,731.91