Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,980.00 / $18,119.00	Facility		$1,992.00	$7,980.00	$18,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.92 / $446.98 / $1,228.54	Professional		$242.92	$446.98	$1,228.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.00 / $8,823.00 / $17,774.00	Facility		$3,388.00	$8,823.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $413.20 / $515.17 / $1,034.91	Professional		$413.20	$515.17	$1,034.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $20,013.65	Facility		$66.09	$100.00	$20,013.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $373.05 / $538.58 / $1,254.22	Professional		$373.05	$538.58	$1,254.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.41 / $591.66 / $1,371.22	Professional		$467.41	$591.66	$1,371.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $424.05 / $559.09 / $754.77	Professional		$424.05	$559.09	$754.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $445.76 / $613.36 / $1,112.00	Professional		$445.76	$613.36	$1,112.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,102.00	Facility		$55.00	$55.00	$11,102.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,475.60 / $3,547.36 / $4,110.83	Professional		$3,475.60	$3,547.36	$4,110.83
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 $431.39 / $588.83 / $763.81	Facility		$431.39	$588.83	$763.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $472.97 / $615.19 / $1,276.07	Professional		$472.97	$615.19	$1,276.07
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $5,156.00 / $5,156.00 / $5,156.00	Facility		$5,156.00	$5,156.00	$5,156.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,569.35 / $1,569.35 / $1,569.35	Professional		$1,569.35	$1,569.35	$1,569.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $451.30 / $593.66 / $720.88	Professional		$451.30	$593.66	$720.88
United Facility/Professional Facility Modifier Low / Median / High Price $5,670.00 / $9,810.00 / $21,278.00	Facility		$5,670.00	$9,810.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $375.15 / $512.82 / $1,394.11	Professional		$375.15	$512.82	$1,394.11