Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,645.00 / $9,674.00 / $21,960.90	Facility		$2,645.00	$9,674.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $843.09 / $973.96 / $5,331.84	Professional		$843.09	$973.96	$5,331.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $11,216.00 / $21,514.00	Facility		$3,585.00	$11,216.00	$21,514.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,090.41 / $1,338.78 / $2,741.73	Professional		$1,090.41	$1,338.78	$2,741.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,336.71	Facility		$66.00	$100.00	$6,336.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $703.54 / $1,013.29 / $2,306.50	Professional		$703.54	$1,013.29	$2,306.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.55 / $1,232.71 / $2,735.51	Professional		$949.55	$1,232.71	$2,735.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $709.98 / $1,074.41 / $1,442.49	Professional		$709.98	$1,074.41	$1,442.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $924.69 / $1,300.46 / $2,328.73	Professional		$924.69	$1,300.46	$2,328.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $7,471.04 / $13,960.05	Facility		$2,000.00	$7,471.04	$13,960.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,440.44 / $8,440.44 / $8,560.50	Professional		$8,440.44	$8,440.44	$8,560.50
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 $1,029.73 / $1,288.78 / $1,862.83	Facility		$1,029.73	$1,288.78	$1,862.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $954.46 / $1,288.53 / $2,687.41	Professional		$954.46	$1,288.53	$2,687.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,308.30 / $3,308.30 / $3,308.30	Professional		$3,308.30	$3,308.30	$3,308.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $922.97 / $1,064.96 / $1,343.00	Professional		$922.97	$1,064.96	$1,343.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,341.00 / $26,451.00	Facility		$5,799.00	$12,341.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $791.82 / $1,040.41 / $2,253.44	Professional		$791.82	$1,040.41	$2,253.44