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 $836.46 / $974.46 / $5,238.91	Professional		$836.46	$974.46	$5,238.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,816.00 / $18,595.00	Facility		$3,028.00	$9,816.00	$18,595.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,126.15 / $1,417.66 / $2,844.98	Professional		$1,126.15	$1,417.66	$2,844.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $12,546.02	Facility		$66.00	$100.00	$12,546.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $798.66 / $1,145.11 / $2,577.19	Professional		$798.66	$1,145.11	$2,577.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $13,026.72 / $23,331.45	Facility		$3,203.00	$13,026.72	$23,331.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $998.82 / $1,254.75 / $2,705.00	Professional		$998.82	$1,254.75	$2,705.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $674.61 / $1,158.90 / $1,564.52	Professional		$674.61	$1,158.90	$1,564.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $928.10 / $1,305.85 / $2,340.03	Professional		$928.10	$1,305.85	$2,340.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,703.00 / $26,542.00 / $37,623.85	Facility		$4,703.00	$26,542.00	$37,623.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,258.48 / $7,402.16 / $8,653.28	Professional		$7,258.48	$7,402.16	$8,653.28
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 $1,047.31 / $1,309.83 / $1,920.00	Facility		$1,047.31	$1,309.83	$1,920.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $998.82 / $1,300.44 / $2,678.43	Professional		$998.82	$1,300.44	$2,678.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,250.64 / $3,250.64 / $3,250.64	Professional		$3,250.64	$3,250.64	$3,250.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $876.99 / $1,052.09 / $1,285.90	Professional		$876.99	$1,052.09	$1,285.90
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,651.00 / $29,312.00	Facility		$7,696.00	$13,651.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $788.20 / $1,051.81 / $2,437.61	Professional		$788.20	$1,051.81	$2,437.61