Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,695.00 / $17,809.00	Facility		$1,820.00	$6,695.00	$17,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $688.90 / $808.54 / $4,266.12	Professional		$688.90	$808.54	$4,266.12
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 $912.70 / $1,277.21 / $2,327.82	Professional		$912.70	$1,277.21	$2,327.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,404.02	Facility		$66.00	$100.00	$8,404.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $613.71 / $880.70 / $2,006.20	Professional		$613.71	$880.70	$2,006.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $6,067.55 / $10,867.25	Facility		$2,277.00	$6,067.55	$10,867.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $781.96 / $1,014.74 / $2,211.21	Professional		$781.96	$1,014.74	$2,211.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $941.56 / $1,271.10	Professional		$505.96	$941.56	$1,271.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $766.57 / $1,061.48 / $1,916.00	Professional		$766.57	$1,061.48	$1,916.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,060.44 / $17,524.30 / $26,542.00	Facility		$3,060.44	$17,524.30	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,904.96 / $6,025.28 / $7,037.33	Professional		$5,904.96	$6,025.28	$7,037.33
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 $849.24 / $1,040.40 / $1,425.69	Facility		$849.24	$1,040.40	$1,425.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $783.42 / $1,054.31 / $2,178.21	Professional		$783.42	$1,054.31	$2,178.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,647.05 / $2,647.05 / $2,647.05	Professional		$2,647.05	$2,647.05	$2,647.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $657.74 / $854.78 / $1,044.73	Professional		$657.74	$854.78	$1,044.73
United Facility/Professional Facility Modifier Low / Median / High Price $5,416.00 / $12,313.00 / $26,451.00	Facility		$5,416.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $638.51 / $847.84 / $1,817.00	Professional		$638.51	$847.84	$1,817.00