Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,648.00 / $18,483.00	Facility		$1,992.00	$7,648.00	$18,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.88 / $946.94 / $4,989.41	Professional		$796.88	$946.94	$4,989.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $8,484.00 / $17,774.00	Facility		$2,776.00	$8,484.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,072.05 / $1,412.22 / $2,701.56	Professional		$1,072.05	$1,412.22	$2,701.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,907.12	Facility		$66.00	$100.00	$9,907.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $973.76 / $1,395.89 / $2,994.86	Professional		$973.76	$1,395.89	$2,994.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $3,101.23 / $5,554.45	Facility		$2,813.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $946.86 / $1,327.45 / $2,627.35	Professional		$946.86	$1,327.45	$2,627.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $759.12 / $1,104.85 / $1,491.56	Professional		$759.12	$1,104.85	$1,491.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $895.95 / $1,244.38 / $2,229.67	Professional		$895.95	$1,244.38	$2,229.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,582.68 / $8,957.00 / $26,542.00	Facility		$3,582.68	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,050.08 / $7,084.61 / $8,241.29	Professional		$7,050.08	$7,084.61	$8,241.29
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 $1,013.49 / $1,325.83 / $1,870.00	Facility		$1,013.49	$1,325.83	$1,870.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $975.61 / $1,378.95 / $2,552.52	Professional		$975.61	$1,378.95	$2,552.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,095.83 / $3,095.83 / $3,095.83	Professional		$3,095.83	$3,095.83	$3,095.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $891.60 / $1,138.68 / $1,435.97	Professional		$891.60	$1,138.68	$1,435.97
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,341.00 / $26,451.00	Facility		$5,799.00	$12,341.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $744.39 / $1,039.59 / $2,344.69	Professional		$744.39	$1,039.59	$2,344.69