Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $8,870.00 / $19,860.00	Facility		$2,616.00	$8,870.00	$19,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $803.65 / $978.18 / $5,000.57	Professional		$803.65	$978.18	$5,000.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $9,030.00 / $17,774.00	Facility		$2,776.00	$9,030.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,103.81 / $1,417.96 / $2,718.42	Professional		$1,103.81	$1,417.96	$2,718.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,798.18	Facility		$66.00	$100.00	$11,798.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $845.45 / $1,207.79 / $2,644.58	Professional		$845.45	$1,207.79	$2,644.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $9,391.45 / $16,820.53	Facility		$3,203.00	$9,391.45	$16,820.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.90 / $1,253.02 / $2,611.29	Professional		$966.90	$1,253.02	$2,611.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $669.77 / $1,119.49 / $1,511.31	Professional		$669.77	$1,119.49	$1,511.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $892.67 / $1,255.79 / $2,281.28	Professional		$892.67	$1,255.79	$2,281.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,599.00 / $26,542.00 / $27,124.45	Facility		$3,599.00	$26,542.00	$27,124.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,951.76 / $7,090.40 / $8,280.45	Professional		$6,951.76	$7,090.40	$8,280.45
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 $1,016.32 / $1,284.80 / $1,866.72	Facility		$1,016.32	$1,284.80	$1,866.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $984.58 / $1,324.30 / $2,555.33	Professional		$984.58	$1,324.30	$2,555.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,102.74 / $3,102.74 / $3,102.74	Professional		$3,102.74	$3,102.74	$3,102.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $870.70 / $1,016.47 / $1,266.95	Professional		$870.70	$1,016.47	$1,266.95
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 $764.96 / $1,015.56 / $2,118.21	Professional		$764.96	$1,015.56	$2,118.21