Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $6,423.00 / $17,133.00	Facility		$2,020.00	$6,423.00	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $942.51 / $1,026.67 / $4,158.64	Professional		$942.51	$1,026.67	$4,158.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,140.00 / $14,981.00	Facility		$2,456.00	$7,140.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,033.50 / $1,511.35 / $3,031.36	Professional		$1,033.50	$1,511.35	$3,031.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,373.15	Facility		$66.00	$100.00	$7,373.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $815.79 / $1,185.31 / $2,663.70	Professional		$815.79	$1,185.31	$2,663.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $5,729.24 / $10,261.32	Facility		$1,992.00	$5,729.24	$10,261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,008.37 / $1,355.42 / $2,953.85	Professional		$1,008.37	$1,355.42	$2,953.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $413.63 / $1,168.44 / $1,577.39	Professional		$413.63	$1,168.44	$1,577.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $926.22 / $1,296.67 / $2,337.00	Professional		$926.22	$1,296.67	$2,337.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,459.52 / $16,394.00 / $16,547.20	Facility		$5,459.52	$16,394.00	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,057.00 / $9,057.00 / $9,057.00	Professional		$9,057.00	$9,057.00	$9,057.00
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 $1,032.28 / $1,321.53 / $1,888.10	Facility		$1,032.28	$1,321.53	$1,888.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,006.99 / $1,396.54 / $2,816.85	Professional		$1,006.99	$1,396.54	$2,816.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,471.36 / $3,471.36 / $3,471.36	Professional		$3,471.36	$3,471.36	$3,471.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $537.71 / $886.74 / $1,298.07	Professional		$537.71	$886.74	$1,298.07
United Facility/Professional Facility Modifier Low / Median / High Price $5,835.00 / $12,267.00 / $26,109.00	Facility		$5,835.00	$12,267.00	$26,109.00
United Facility/Professional Professional Modifier Low / Median / High Price $835.61 / $1,085.21 / $2,344.19	Professional		$835.61	$1,085.21	$2,344.19