Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,870.00 / $19,368.00	Facility		$2,421.00	$8,870.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $882.86 / $1,012.94 / $5,152.54	Professional		$882.86	$1,012.94	$5,152.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,822.00 / $9,447.00 / $18,544.00	Facility		$2,822.00	$9,447.00	$18,544.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $829.62 / $1,303.07 / $2,745.14	Professional		$829.62	$1,303.07	$2,745.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,796.81	Facility		$66.00	$100.00	$10,796.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $751.69 / $1,082.56 / $2,457.38	Professional		$751.69	$1,082.56	$2,457.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,101.23 / $3,106.72 / $5,554.45	Facility		$3,101.23	$3,106.72	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $885.35 / $1,219.03 / $2,750.71	Professional		$885.35	$1,219.03	$2,750.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,216.44 / $1,338.08 / $2,214.06	Professional		$1,216.44	$1,338.08	$2,214.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $986.46 / $1,367.20 / $2,651.84	Professional		$986.46	$1,367.20	$2,651.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,924.52 / $8,957.00 / $26,542.00	Facility		$3,924.52	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,573.76 / $7,722.88 / $9,030.98	Professional		$7,573.76	$7,722.88	$9,030.98
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 $936.68 / $1,300.74 / $1,798.93	Facility		$936.68	$1,300.74	$1,798.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $895.56 / $1,307.91 / $2,738.35	Professional		$895.56	$1,307.91	$2,738.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,379.75 / $3,379.75 / $3,379.75	Professional		$3,379.75	$3,379.75	$3,379.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $981.71 / $1,104.43 / $1,349.85	Professional		$981.71	$1,104.43	$1,349.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,230.00 / $4,213.00 / $9,131.00	Facility		$2,230.00	$4,213.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $781.30 / $1,027.23 / $2,243.42	Professional		$781.30	$1,027.23	$2,243.42