Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,707.41 / $17,701.00	Facility		$1,820.00	$6,707.41	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $967.41 / $1,091.16 / $5,870.23	Professional		$967.41	$1,091.16	$5,870.23
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 $1,271.99 / $1,662.88 / $3,179.87	Professional		$1,271.99	$1,662.88	$3,179.87
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 $865.35 / $1,260.97 / $2,809.69	Professional		$865.35	$1,260.97	$2,809.69
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 $1,067.36 / $1,417.59 / $3,096.84	Professional		$1,067.36	$1,417.59	$3,096.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $443.04 / $1,172.90 / $1,583.42	Professional		$443.04	$1,172.90	$1,583.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $937.73 / $1,316.59 / $2,396.42	Professional		$937.73	$1,316.59	$2,396.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,587.80 / $16,547.20	Facility		$55.00	$5,587.80	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,378.40 / $7,521.36 / $8,437.20	Professional		$7,378.40	$7,521.36	$8,437.20
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 $1,091.16 / $1,377.56 / $1,889.59	Facility		$1,091.16	$1,377.56	$1,889.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,063.21 / $1,461.95 / $2,954.85	Professional		$1,063.21	$1,461.95	$2,954.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,642.36 / $3,642.36 / $3,642.36	Professional		$3,642.36	$3,642.36	$3,642.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $575.95 / $947.42 / $1,302.70	Professional		$575.95	$947.42	$1,302.70
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $7,384.00 / $15,471.00	Facility		$3,800.00	$7,384.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $892.08 / $1,178.82 / $2,744.71	Professional		$892.08	$1,178.82	$2,744.71