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 $729.55 / $830.48 / $4,804.60	Professional		$729.55	$830.48	$4,804.60
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 $729.90 / $972.65 / $2,025.04	Professional		$729.90	$972.65	$2,025.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,864.42	Facility		$66.00	$100.00	$7,864.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $601.54 / $878.68 / $2,087.54	Professional		$601.54	$878.68	$2,087.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $835.01 / $1,073.94 / $2,450.17	Professional		$835.01	$1,073.94	$2,450.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $698.43 / $1,115.69 / $1,338.83	Professional		$698.43	$1,115.69	$1,338.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $884.40 / $1,215.29 / $2,228.03	Professional		$884.40	$1,215.29	$2,228.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,174.14 / $7,608.79 / $26,542.00	Facility		$6,174.14	$7,608.79	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,837.36 / $6,855.60 / $8,101.13	Professional		$6,837.36	$6,855.60	$8,101.13
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 $851.76 / $1,164.40 / $1,517.34	Facility		$851.76	$1,164.40	$1,517.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $845.33 / $1,099.98 / $2,383.32	Professional		$845.33	$1,099.98	$2,383.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,981.17 / $2,981.17 / $2,981.17	Professional		$2,981.17	$2,981.17	$2,981.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $880.78 / $1,145.02 / $1,497.33	Professional		$880.78	$1,145.02	$1,497.33
United Facility/Professional Facility Modifier Low / Median / High Price $3,842.00 / $7,454.00 / $15,471.00	Facility		$3,842.00	$7,454.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $698.21 / $951.48 / $2,255.19	Professional		$698.21	$951.48	$2,255.19