Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,880.00 / $17,701.00	Facility		$1,820.00	$6,880.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,068.46 / $1,301.10 / $7,024.44	Professional		$1,068.46	$1,301.10	$7,024.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,362.00 / $16,106.00	Facility		$2,456.00	$7,362.00	$16,106.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $999.78 / $1,520.95 / $3,180.45	Professional		$999.78	$1,520.95	$3,180.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,668.76	Facility		$66.00	$100.00	$15,668.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $585.17 / $843.22 / $2,048.34	Professional		$585.17	$843.22	$2,048.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $9,235.59 / $16,541.36	Facility		$2,277.00	$9,235.59	$16,541.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $781.17 / $1,540.58 / $3,560.63	Professional		$781.17	$1,540.58	$3,560.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $630.67 / $1,529.36 / $2,064.64	Professional		$630.67	$1,529.36	$2,064.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.76 / $1,730.16 / $3,102.92	Professional		$1,230.76	$1,730.16	$3,102.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $8,782.54 / $26,674.30	Facility		$2,000.00	$8,782.54	$26,674.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,672.95 / $9,868.71 / $11,534.63	Professional		$9,672.95	$9,868.71	$11,534.63
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 $959.85 / $1,641.01 / $2,222.37	Facility		$959.85	$1,641.01	$2,222.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $814.36 / $1,621.56 / $3,540.44	Professional		$814.36	$1,621.56	$3,540.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,358.53 / $4,358.53 / $4,358.53	Professional		$4,358.53	$4,358.53	$4,358.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $819.88 / $1,233.97 / $1,696.71	Professional		$819.88	$1,233.97	$1,696.71
United Facility/Professional Facility Modifier Low / Median / High Price $6,087.45 / $12,341.00 / $26,109.00	Facility		$6,087.45	$12,341.00	$26,109.00
United Facility/Professional Professional Modifier Low / Median / High Price $857.37 / $1,284.35 / $3,264.30	Professional		$857.37	$1,284.35	$3,264.30