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 $719.50 / $833.74 / $4,778.71	Professional		$719.50	$833.74	$4,778.71
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 $718.25 / $991.30 / $2,108.06	Professional		$718.25	$991.30	$2,108.06
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 $577.41 / $844.32 / $2,007.55	Professional		$577.41	$844.32	$2,007.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $808.32 / $1,062.75 / $2,420.66	Professional		$808.32	$1,062.75	$2,420.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $640.36 / $1,097.15 / $1,316.58	Professional		$640.36	$1,097.15	$1,316.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $871.00 / $1,196.83 / $2,194.19	Professional		$871.00	$1,196.83	$2,194.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,221.43 / $11,500.00 / $26,542.00	Facility		$5,221.43	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,762.00 / $6,896.16 / $7,991.25	Professional		$6,762.00	$6,896.16	$7,991.25
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 $838.96 / $1,147.68 / $1,492.12	Facility		$838.96	$1,147.68	$1,492.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $841.69 / $1,093.99 / $2,378.94	Professional		$841.69	$1,093.99	$2,378.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,965.11 / $2,965.11 / $2,965.11	Professional		$2,965.11	$2,965.11	$2,965.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $807.54 / $1,049.80 / $1,372.82	Professional		$807.54	$1,049.80	$1,372.82
United Facility/Professional Facility Modifier Low / Median / High Price $5,679.00 / $9,810.00 / $21,278.00	Facility		$5,679.00	$9,810.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $693.15 / $919.90 / $2,214.94	Professional		$693.15	$919.90	$2,214.94