Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,870.00 / $19,368.00	Facility		$2,421.00	$8,870.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $857.94 / $1,014.38 / $5,420.33	Professional		$857.94	$1,014.38	$5,420.33
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 $1,160.90 / $1,462.38 / $2,881.18	Professional		$1,160.90	$1,462.38	$2,881.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,847.40	Facility		$66.00	$100.00	$11,847.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $800.13 / $1,163.16 / $2,613.94	Professional		$800.13	$1,163.16	$2,613.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $5,729.24 / $10,261.32	Facility		$3,203.00	$5,729.24	$10,261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $975.95 / $1,287.22 / $2,827.31	Professional		$975.95	$1,287.22	$2,827.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $832.46 / $1,197.42 / $1,616.52	Professional		$832.46	$1,197.42	$1,616.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $960.95 / $1,328.55 / $2,380.96	Professional		$960.95	$1,328.55	$2,380.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,590.68 / $16,547.20 / $26,542.00	Facility		$5,590.68	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,315.02 / $11,315.02 / $11,315.02	Professional		$11,315.02	$11,315.02	$11,315.02
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 $1,068.64 / $1,334.65 / $2,166.46	Facility		$1,068.64	$1,334.65	$2,166.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,015.43 / $1,328.66 / $2,743.14	Professional		$1,015.43	$1,328.66	$2,743.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,363.20 / $3,363.20 / $3,363.20	Professional		$3,363.20	$3,363.20	$3,363.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $967.49 / $1,248.69 / $1,574.70	Professional		$967.49	$1,248.69	$1,574.70
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 $788.53 / $1,053.82 / $2,291.98	Professional		$788.53	$1,053.82	$2,291.98