Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,631.00 / $17,393.00	Facility		$1,820.00	$6,631.00	$17,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $728.76 / $858.16 / $4,932.59	Professional		$728.76	$858.16	$4,932.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,696.00 / $7,166.00 / $15,328.00	Facility		$2,696.00	$7,166.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $746.60 / $994.91 / $2,122.50	Professional		$746.60	$994.91	$2,122.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,263.42	Facility		$66.00	$100.00	$8,263.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $595.48 / $872.16 / $2,076.98	Professional		$595.48	$872.16	$2,076.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.69 / $1,094.04 / $2,488.48	Professional		$831.69	$1,094.04	$2,488.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $677.96 / $1,145.65 / $1,374.78	Professional		$677.96	$1,145.65	$1,374.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $913.10 / $1,255.69 / $2,299.86	Professional		$913.10	$1,255.69	$2,299.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,498.16 / $11,500.00 / $26,542.00	Facility		$5,498.16	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,118.80 / $7,262.32 / $8,407.28	Professional		$7,118.80	$7,262.32	$8,407.28
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 $857.86 / $1,203.73 / $1,564.50	Facility		$857.86	$1,203.73	$1,564.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $859.50 / $1,127.53 / $2,477.14	Professional		$859.50	$1,127.53	$2,477.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,060.59 / $3,060.59 / $3,060.59	Professional		$3,060.59	$3,060.59	$3,060.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $854.96 / $1,111.45 / $1,453.43	Professional		$854.96	$1,111.45	$1,453.43
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 $728.94 / $955.85 / $2,293.91	Professional		$728.94	$955.85	$2,293.91