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 $681.66 / $805.25 / $4,704.81	Professional		$681.66	$805.25	$4,704.81
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 $656.60 / $902.89 / $1,923.97	Professional		$656.60	$902.89	$1,923.97
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,677.87	Facility		$66.00	$100.00	$9,677.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $533.32 / $779.55 / $1,854.91	Professional		$533.32	$779.55	$1,854.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.62 / $1,030.48 / $2,416.19	Professional		$748.62	$1,030.48	$2,416.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $634.77 / $1,061.05 / $1,273.26	Professional		$634.77	$1,061.05	$1,273.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $839.98 / $1,154.33 / $2,116.27	Professional		$839.98	$1,154.33	$2,116.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,855.64 / $7,369.32 / $26,542.00	Facility		$5,855.64	$7,369.32	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,501.52 / $6,637.92 / $7,686.15	Professional		$6,501.52	$6,637.92	$7,686.15
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 $783.86 / $1,102.97 / $1,442.68	Facility		$783.86	$1,102.97	$1,442.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $786.05 / $1,057.33 / $2,323.25	Professional		$786.05	$1,057.33	$2,323.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,919.23 / $2,919.23 / $2,919.23	Professional		$2,919.23	$2,919.23	$2,919.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $800.50 / $1,040.65 / $1,360.85	Professional		$800.50	$1,040.65	$1,360.85
United Facility/Professional Facility Modifier Low / Median / High Price $4,035.00 / $7,473.00 / $15,471.00	Facility		$4,035.00	$7,473.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $668.20 / $880.26 / $1,994.65	Professional		$668.20	$880.26	$1,994.65