Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,144.64 / $9,490.00 / $20,673.00	Facility		$2,144.64	$9,490.00	$20,673.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.18 / $1,856.16 / $4,737.57	Professional		$741.18	$1,856.16	$4,737.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,242.00 / $8,592.00 / $17,774.00	Facility		$3,242.00	$8,592.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $956.65 / $1,253.85 / $3,186.80	Professional		$956.65	$1,253.85	$3,186.80
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 $850.59 / $1,541.80 / $3,008.08	Professional		$850.59	$1,541.80	$3,008.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,445.00 / $7,816.22 / $13,999.20	Facility		$4,445.00	$7,816.22	$13,999.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $854.91 / $1,845.57 / $4,189.64	Professional		$854.91	$1,845.57	$4,189.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $744.60 / $1,116.90 / $3,028.44	Professional		$744.60	$1,116.90	$3,028.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $798.08 / $1,807.46 / $3,364.94	Professional		$798.08	$1,807.46	$3,364.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,297.46 / $5,349.66 / $26,542.00	Facility		$5,297.46	$5,349.66	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,351.00 / $12,605.52 / $14,669.85	Professional		$7,351.00	$12,605.52	$14,669.85
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 $821.97 / $1,415.12 / $2,884.05	Facility		$821.97	$1,415.12	$2,884.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $865.15 / $1,929.88 / $4,608.31	Professional		$865.15	$1,929.88	$4,608.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,573.25 / $2,573.25 / $6,679.80	Professional		$2,573.25	$2,573.25	$6,679.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $801.47 / $1,220.70 / $2,494.11	Professional		$801.47	$1,220.70	$2,494.11
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 $1,526.04 / $2,091.23 / $4,649.29	Professional		$1,526.04	$2,091.23	$4,649.29