Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,640.00 / $17,701.00	Facility		$1,820.00	$6,640.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $859.82 / $964.19 / $5,044.64	Professional		$859.82	$964.19	$5,044.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,978.00 / $13,707.00	Facility		$2,456.00	$6,978.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,211.77 / $1,974.31 / $3,435.64	Professional		$1,211.77	$1,974.31	$3,435.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,011.98	Facility		$66.00	$100.00	$8,011.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $683.94 / $977.05 / $2,046.86	Professional		$683.94	$977.05	$2,046.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,980.00 / $5,980.00 / $5,980.00	Facility		$5,980.00	$5,980.00	$5,980.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $970.72 / $1,257.17 / $2,712.36	Professional		$970.72	$1,257.17	$2,712.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $840.28 / $1,017.61 / $1,373.77	Professional		$840.28	$1,017.61	$1,373.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $867.44 / $1,190.28 / $2,143.13	Professional		$867.44	$1,190.28	$2,143.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $17,500.64 / $17,904.80	Facility		$55.00	$17,500.64	$17,904.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,852.64 / $7,009.20 / $8,407.35	Professional		$6,852.64	$7,009.20	$8,407.35
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 $948.34 / $1,176.84 / $1,607.35	Facility		$948.34	$1,176.84	$1,607.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $980.68 / $1,308.38 / $2,592.57	Professional		$980.68	$1,308.38	$2,592.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,130.12 / $3,130.12 / $3,130.12	Professional		$3,130.12	$3,130.12	$3,130.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $840.28 / $1,127.03 / $1,589.49	Professional		$840.28	$1,127.03	$1,589.49
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,384.00 / $15,471.00	Facility		$3,610.00	$7,384.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $776.26 / $1,083.92 / $2,268.83	Professional		$776.26	$1,083.92	$2,268.83