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 $799.00 / $983.95 / $5,203.10	Professional		$799.00	$983.95	$5,203.10
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 $1,073.83 / $1,374.21 / $2,726.37	Professional		$1,073.83	$1,374.21	$2,726.37
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,393.26	Facility		$66.00	$100.00	$8,393.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $842.79 / $1,203.98 / $2,668.92	Professional		$842.79	$1,203.98	$2,668.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $6,894.76 / $12,348.83	Facility		$2,277.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $985.31 / $1,289.81 / $2,775.49	Professional		$985.31	$1,289.81	$2,775.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $539.84 / $1,207.25 / $1,629.79	Professional		$539.84	$1,207.25	$1,629.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $942.58 / $1,316.60 / $2,377.41	Professional		$942.58	$1,316.60	$2,377.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,702.36 / $19,913.50 / $26,542.00	Facility		$3,702.36	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,528.50 / $7,776.94 / $8,545.43	Professional		$7,528.50	$7,776.94	$8,545.43
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 $1,026.77 / $1,311.49 / $1,832.91	Facility		$1,026.77	$1,311.49	$1,832.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $998.36 / $1,379.43 / $2,684.80	Professional		$998.36	$1,379.43	$2,684.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,228.42 / $3,228.42 / $3,228.42	Professional		$3,228.42	$3,228.42	$3,228.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $701.79 / $974.95 / $1,340.56	Professional		$701.79	$974.95	$1,340.56
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,713.00 / $21,278.00	Facility		$4,523.00	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $765.52 / $1,017.00 / $2,143.09	Professional		$765.52	$1,017.00	$2,143.09