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 $891.63 / $1,078.85 / $5,517.54	Professional		$891.63	$1,078.85	$5,517.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,183.89 / $1,638.71 / $3,150.70	Professional		$1,183.89	$1,638.71	$3,150.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,826.58	Facility		$66.00	$100.00	$7,826.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $797.52 / $1,139.32 / $2,547.84	Professional		$797.52	$1,139.32	$2,547.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,360.35 / $2,364.53 / $5,980.00	Facility		$2,360.35	$2,364.53	$5,980.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,079.09 / $1,350.61 / $2,929.54	Professional		$1,079.09	$1,350.61	$2,929.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $878.26 / $1,225.85 / $1,685.12	Professional		$878.26	$1,225.85	$1,685.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $992.49 / $1,378.42 / $2,468.62	Professional		$992.49	$1,378.42	$2,468.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,954.32 / $6,817.20	Facility		$55.00	$3,954.32	$6,817.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,644.24 / $7,750.00 / $9,089.40	Professional		$7,644.24	$7,750.00	$9,089.40
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 $1,088.17 / $1,351.85 / $1,868.54	Facility		$1,088.17	$1,351.85	$1,868.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,079.09 / $1,419.87 / $2,850.73	Professional		$1,079.09	$1,419.87	$2,850.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,423.51 / $3,423.51 / $3,423.51	Professional		$3,423.51	$3,423.51	$3,423.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $989.36 / $1,141.73 / $1,493.03	Professional		$989.36	$1,141.73	$1,493.03
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $845.04 / $1,131.08 / $2,335.03	Professional		$845.04	$1,131.08	$2,335.03