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 $761.89 / $918.71 / $4,738.47	Professional		$761.89	$918.71	$4,738.47
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 $1,026.35 / $1,352.74 / $2,574.96	Professional		$1,026.35	$1,352.74	$2,574.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,343.54	Facility		$66.00	$100.00	$8,343.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $913.47 / $1,309.58 / $2,809.45	Professional		$913.47	$1,309.58	$2,809.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,101.23 / $5,554.45	Facility		$2,277.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $934.08 / $1,259.04 / $2,498.80	Professional		$934.08	$1,259.04	$2,498.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $984.36 / $1,161.22 / $1,862.04	Professional		$984.36	$1,161.22	$1,862.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $856.30 / $1,187.09 / $2,126.32	Professional		$856.30	$1,187.09	$2,126.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,408.36 / $8,957.00 / $26,542.00	Facility		$3,408.36	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,712.56 / $6,792.49 / $7,841.70	Professional		$6,712.56	$6,792.49	$7,841.70
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 $937.00 / $1,193.17 / $1,694.01	Facility		$937.00	$1,193.17	$1,694.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $938.24 / $1,307.08 / $2,427.92	Professional		$938.24	$1,307.08	$2,427.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,940.14 / $2,940.14 / $2,940.14	Professional		$2,940.14	$2,940.14	$2,940.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $941.05 / $1,171.42 / $1,862.04	Professional		$941.05	$1,171.42	$1,862.04
United Facility/Professional Facility Modifier Low / Median / High Price $5,416.00 / $12,313.00 / $26,451.00	Facility		$5,416.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $726.68 / $988.00 / $2,006.45	Professional		$726.68	$988.00	$2,006.45