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 $615.07 / $712.69 / $4,170.55	Professional		$615.07	$712.69	$4,170.55
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 $597.00 / $804.21 / $1,692.94	Professional		$597.00	$804.21	$1,692.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,907.12	Facility		$66.00	$100.00	$9,907.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $492.47 / $720.32 / $1,713.22	Professional		$492.47	$720.32	$1,713.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.26 / $924.29 / $2,145.19	Professional		$687.26	$924.29	$2,145.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $574.46 / $941.61 / $1,129.93	Professional		$574.46	$941.61	$1,129.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $745.92 / $1,025.02 / $1,879.20	Professional		$745.92	$1,025.02	$1,879.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,203.38 / $11,500.00 / $26,542.00	Facility		$5,203.38	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,778.00 / $5,890.96 / $6,828.30	Professional		$5,778.00	$5,890.96	$6,828.30
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 $717.05 / $981.74 / $1,332.49	Facility		$717.05	$981.74	$1,332.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $710.95 / $943.63 / $2,089.79	Professional		$710.95	$943.63	$2,089.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,587.73 / $2,587.73 / $2,587.73	Professional		$2,587.73	$2,587.73	$2,587.73
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $941.77 / $1,231.55	Professional		$724.44	$941.77	$1,231.55
United Facility/Professional Facility Modifier Low / Median / High Price $5,679.00 / $9,759.00 / $21,278.00	Facility		$5,679.00	$9,759.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $602.95 / $808.56 / $2,033.77	Professional		$602.95	$808.56	$2,033.77