Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,004.71 / $9,006.00 / $21,000.00	Facility		$1,004.71	$9,006.00	$21,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $827.82 / $1,004.71 / $3,802.03	Professional		$827.82	$1,004.71	$3,802.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,447.00 / $18,544.00	Facility		$3,028.00	$9,447.00	$18,544.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,120.59 / $1,431.64 / $2,823.94	Professional		$1,120.59	$1,431.64	$2,823.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,290.89	Facility		$66.00	$100.00	$15,290.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $818.76 / $1,181.95 / $2,690.40	Professional		$818.76	$1,181.95	$2,690.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $5,729.24 / $10,261.32	Facility		$2,277.00	$5,729.24	$10,261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,018.05 / $1,342.25 / $3,000.15	Professional		$1,018.05	$1,342.25	$3,000.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $819.06 / $1,263.71 / $1,706.01	Professional		$819.06	$1,263.71	$1,706.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,020.74 / $1,415.48 / $2,614.11	Professional		$1,020.74	$1,415.48	$2,614.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,084.96 / $16,547.20	Facility		$55.00	$8,084.96	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,050.27 / $10,050.27 / $10,050.27	Professional		$10,050.27	$10,050.27	$10,050.27
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 $1,122.33 / $1,401.75 / $2,156.54	Facility		$1,122.33	$1,401.75	$2,156.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,018.05 / $1,392.18 / $2,909.34	Professional		$1,018.05	$1,392.18	$2,909.34
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,634.51 / $3,634.51 / $3,634.51	Professional		$3,634.51	$3,634.51	$3,634.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,020.12 / $1,228.58 / $1,549.35	Professional		$1,020.12	$1,228.58	$1,549.35
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,313.00 / $26,451.00	Facility		$5,799.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $824.02 / $1,099.08 / $2,651.19	Professional		$824.02	$1,099.08	$2,651.19