Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.13 / $5,505.00 / $16,210.00	Facility		$1,023.13	$5,505.00	$16,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $751.47 / $1,040.77 / $3,500.34	Professional		$751.47	$1,040.77	$3,500.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,931.00 / $11,456.00	Facility		$2,143.00	$5,931.00	$11,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $753.36 / $1,006.86 / $2,102.63	Professional		$753.36	$1,006.86	$2,102.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,881.37	Facility		$66.00	$100.00	$6,881.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $573.22 / $818.89 / $1,961.60	Professional		$573.22	$818.89	$1,961.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $807.51 / $1,105.79 / $2,298.78	Professional		$807.51	$1,105.79	$2,298.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $1,134.03 / $1,653.45	Professional		$505.96	$1,134.03	$1,653.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $839.86 / $1,166.26 / $2,097.10	Professional		$839.86	$1,166.26	$2,097.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,945.12 / $5,564.75 / $16,394.00	Facility		$3,945.12	$5,564.75	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,115.44 / $7,356.16 / $8,622.90	Professional		$6,115.44	$7,356.16	$8,622.90
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 $832.60 / $1,121.27 / $1,530.98	Facility		$832.60	$1,121.27	$1,530.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $811.56 / $1,144.50 / $2,340.55	Professional		$811.56	$1,144.50	$2,340.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,732.46 / $2,732.46 / $3,290.26	Professional		$2,732.46	$2,732.46	$3,290.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $657.74 / $910.72 / $1,360.35	Professional		$657.74	$910.72	$1,360.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,348.00 / $4,243.00 / $9,131.00	Facility		$2,348.00	$4,243.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $769.07 / $1,030.32 / $2,405.78	Professional		$769.07	$1,030.32	$2,405.78