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 $769.00 / $922.57 / $4,951.51	Professional		$769.00	$922.57	$4,951.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,644.00 / $18,544.00	Facility		$3,028.00	$9,644.00	$18,544.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,075.85 / $1,415.82 / $2,688.08	Professional		$1,075.85	$1,415.82	$2,688.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $12,565.69	Facility		$66.00	$100.00	$12,565.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $773.49 / $1,108.77 / $2,462.12	Professional		$773.49	$1,108.77	$2,462.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $6,894.76 / $12,348.83	Facility		$3,203.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.30 / $1,190.98 / $2,562.34	Professional		$949.30	$1,190.98	$2,562.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $716.68 / $1,089.16 / $1,470.37	Professional		$716.68	$1,089.16	$1,470.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $884.66 / $1,228.70 / $2,202.21	Professional		$884.66	$1,228.70	$2,202.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,319.84 / $19,913.50 / $26,542.00	Facility		$5,319.84	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,841.92 / $6,982.16 / $8,153.93	Professional		$6,841.92	$6,982.16	$8,153.93
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 $986.00 / $1,251.26 / $1,746.27	Facility		$986.00	$1,251.26	$1,746.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $949.71 / $1,275.81 / $2,527.48	Professional		$949.71	$1,275.81	$2,527.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,072.33 / $3,072.33 / $3,072.33	Professional		$3,072.33	$3,072.33	$3,072.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $878.90 / $1,075.02 / $1,355.68	Professional		$878.90	$1,075.02	$1,355.68
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,002.00 / $28,253.00	Facility		$7,696.00	$13,002.00	$28,253.00
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $986.04 / $2,079.73	Professional		$741.31	$986.04	$2,079.73