Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,494.00 / $18,252.00	Facility		$1,992.00	$7,494.00	$18,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $791.38 / $943.50 / $5,352.85	Professional		$791.38	$943.50	$5,352.85
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 $802.07 / $1,114.63 / $2,505.13	Professional		$802.07	$1,114.63	$2,505.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,730.92	Facility		$66.00	$100.00	$9,730.92
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $610.97 / $886.70 / $2,122.31	Professional		$610.97	$886.70	$2,122.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $871.61 / $1,188.20 / $2,776.26	Professional		$871.61	$1,188.20	$2,776.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $747.21 / $1,244.08 / $1,492.91	Professional		$747.21	$1,244.08	$1,492.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $988.83 / $1,358.72 / $2,490.98	Professional		$988.83	$1,358.72	$2,490.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,936.58 / $11,500.00 / $26,542.00	Facility		$5,936.58	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,234.62 / $9,234.62 / $9,234.62	Professional		$9,234.62	$9,234.62	$9,234.62
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 $943.50 / $1,303.80 / $1,863.43	Facility		$943.50	$1,303.80	$1,863.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $910.69 / $1,213.40 / $2,693.07	Professional		$910.69	$1,213.40	$2,693.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,321.36 / $3,321.36 / $3,321.36	Professional		$3,321.36	$3,321.36	$3,321.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $942.29 / $1,224.97 / $1,601.89	Professional		$942.29	$1,224.97	$1,601.89
United Facility/Professional Facility Modifier Low / Median / High Price $5,670.00 / $9,908.00 / $21,278.00	Facility		$5,670.00	$9,908.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $775.12 / $1,013.96 / $2,942.22	Professional		$775.12	$1,013.96	$2,942.22