Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,640.00 / $17,701.00	Facility		$1,820.00	$6,640.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.74 / $990.31 / $5,038.56	Professional		$831.74	$990.31	$5,038.56
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 $1,188.56 / $1,541.05 / $2,937.94	Professional		$1,188.56	$1,541.05	$2,937.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,498.71	Facility		$66.00	$100.00	$9,498.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $912.28 / $1,303.26 / $2,805.79	Professional		$912.28	$1,303.26	$2,805.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $10,940.51 / $19,594.93	Facility		$2,277.00	$10,940.51	$19,594.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $995.79 / $1,399.25 / $2,748.70	Professional		$995.79	$1,399.25	$2,748.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $618.02 / $1,115.10 / $1,505.40	Professional		$618.02	$1,115.10	$1,505.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $892.61 / $1,256.01 / $2,250.42	Professional		$892.61	$1,256.01	$2,250.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,615.64 / $26,542.00 / $31,598.45	Facility		$3,615.64	$26,542.00	$31,598.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,314.73 / $8,630.24 / $8,915.04	Professional		$8,314.73	$8,630.24	$8,915.04
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 $1,022.92 / $1,319.73 / $1,913.24	Facility		$1,022.92	$1,319.73	$1,913.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,004.01 / $1,486.58 / $2,590.63	Professional		$1,004.01	$1,486.58	$2,590.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,126.32 / $3,126.32 / $3,126.32	Professional		$3,126.32	$3,126.32	$3,126.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $803.42 / $1,012.37 / $1,237.34	Professional		$803.42	$1,012.37	$1,237.34
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,313.00 / $26,451.00	Facility		$5,799.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $775.60 / $1,081.03 / $2,132.35	Professional		$775.60	$1,081.03	$2,132.35