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 $840.59 / $983.93 / $5,265.45	Professional		$840.59	$983.93	$5,265.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $10,077.00 / $19,951.00	Facility		$3,028.00	$10,077.00	$19,951.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,143.67 / $1,491.47 / $2,859.31	Professional		$1,143.67	$1,491.47	$2,859.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $13,813.69	Facility		$66.00	$100.00	$13,813.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $813.93 / $1,168.16 / $2,599.85	Professional		$813.93	$1,168.16	$2,599.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23,168.00 / $27,565.81 / $49,371.60	Facility		$23,168.00	$27,565.81	$49,371.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $979.93 / $1,263.06 / $2,735.17	Professional		$979.93	$1,263.06	$2,735.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $855.92 / $1,164.33 / $1,619.07	Professional		$855.92	$1,164.33	$1,619.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $944.80 / $1,312.23 / $2,351.58	Professional		$944.80	$1,312.23	$2,351.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,727.85 / $26,542.00 / $79,615.70	Facility		$4,727.85	$26,542.00	$79,615.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,433.26 / $7,438.56 / $8,699.85	Professional		$7,433.26	$7,438.56	$8,699.85
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 $1,052.44 / $1,325.55 / $1,991.24	Facility		$1,052.44	$1,325.55	$1,991.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,002.64 / $1,306.64 / $2,691.91	Professional		$1,002.64	$1,306.64	$2,691.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,267.11 / $3,267.11 / $3,267.11	Professional		$3,267.11	$3,267.11	$3,267.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $939.57 / $1,283.88 / $1,619.07	Professional		$939.57	$1,283.88	$1,619.07
United Facility/Professional Facility Modifier Low / Median / High Price $8,822.00 / $16,684.00 / $43,021.96	Facility		$8,822.00	$16,684.00	$43,021.96
United Facility/Professional Professional Modifier Low / Median / High Price $803.30 / $1,061.90 / $2,228.02	Professional		$803.30	$1,061.90	$2,228.02