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 $770.90 / $874.19 / $5,288.96	Professional		$770.90	$874.19	$5,288.96
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 $784.90 / $1,049.70 / $2,234.40	Professional		$784.90	$1,049.70	$2,234.40
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 $621.91 / $909.87 / $2,164.46	Professional		$621.91	$909.87	$2,164.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.56 / $1,160.65 / $2,719.47	Professional		$870.56	$1,160.65	$2,719.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $793.00 / $1,182.80 / $1,500.06	Professional		$793.00	$1,182.80	$1,500.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $939.75 / $1,291.20 / $2,367.19	Professional		$939.75	$1,291.20	$2,367.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,577.27 / $11,500.00 / $26,542.00	Facility		$6,577.27	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,302.56 / $7,447.60 / $8,625.45	Professional		$7,302.56	$7,447.60	$8,625.45
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 $900.15 / $1,238.61 / $1,668.91	Facility		$900.15	$1,238.61	$1,668.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $906.94 / $1,196.58 / $2,655.48	Professional		$906.94	$1,196.58	$2,655.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,281.71 / $3,281.71 / $3,281.71	Professional		$3,281.71	$3,281.71	$3,281.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $954.90 / $1,300.05 / $1,700.06	Professional		$954.90	$1,300.05	$1,700.06
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 $768.96 / $1,013.60 / $2,393.69	Professional		$768.96	$1,013.60	$2,393.69