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 $843.78 / $1,031.50 / $5,574.01	Professional		$843.78	$1,031.50	$5,574.01
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 $882.96 / $1,209.20 / $2,499.07	Professional		$882.96	$1,209.20	$2,499.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,908.14	Facility		$66.00	$100.00	$7,908.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $555.86 / $795.49 / $1,838.57	Professional		$555.86	$795.49	$1,838.57
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 $596.16 / $1,239.61 / $2,875.47	Professional		$596.16	$1,239.61	$2,875.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $1,230.91 / $1,661.73	Professional		$505.96	$1,230.91	$1,661.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $985.75 / $1,386.99 / $2,485.38	Professional		$985.75	$1,386.99	$2,485.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,995.96 / $8,957.00 / $26,542.00	Facility		$3,995.96	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,709.44 / $7,862.72 / $9,190.28	Professional		$7,709.44	$7,862.72	$9,190.28
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 $736.28 / $1,307.93 / $1,784.82	Facility		$736.28	$1,307.93	$1,784.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $606.38 / $1,289.05 / $2,812.90	Professional		$606.38	$1,289.05	$2,812.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,458.58 / $3,458.58 / $3,458.58	Professional		$3,458.58	$3,458.58	$3,458.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $657.74 / $993.31 / $1,365.80	Professional		$657.74	$993.31	$1,365.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,213.00 / $9,072.00	Facility		$2,090.00	$4,213.00	$9,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $677.60 / $1,016.40 / $2,350.23	Professional		$677.60	$1,016.40	$2,350.23