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 $766.32 / $918.44 / $5,009.78	Professional		$766.32	$918.44	$5,009.78
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 $879.39 / $1,227.86 / $2,529.42	Professional		$879.39	$1,227.86	$2,529.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,138.75	Facility		$66.00	$100.00	$8,138.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $702.31 / $1,018.89 / $2,295.94	Professional		$702.31	$1,018.89	$2,295.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,830.56 / $4,048.61 / $4,850.68	Professional		$3,830.56	$4,048.61	$4,850.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $463.89 / $1,167.39 / $1,575.98	Professional		$463.89	$1,167.39	$1,575.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $909.92 / $1,270.27 / $2,295.15	Professional		$909.92	$1,270.27	$2,295.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,566.80 / $8,957.00 / $26,542.00	Facility		$3,566.80	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,918.24 / $7,149.12 / $8,235.68	Professional		$6,918.24	$7,149.12	$8,235.68
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 $1,011.02 / $1,251.90 / $1,695.08	Facility		$1,011.02	$1,251.90	$1,695.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,100.01 / $1,967.74 / $2,629.01	Professional		$1,100.01	$1,967.74	$2,629.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,108.47 / $3,108.47 / $3,108.47	Professional		$3,108.47	$3,108.47	$3,108.47
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $603.04 / $942.81 / $1,296.35	Professional		$603.04	$942.81	$1,296.35
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,707.00 / $20,988.00	Facility		$4,331.00	$9,707.00	$20,988.00
United Facility/Professional Professional Modifier Low / Median / High Price $725.06 / $950.95 / $2,136.78	Professional		$725.06	$950.95	$2,136.78