Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,648.00 / $18,309.00	Facility		$1,992.00	$7,648.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $810.32 / $943.54 / $5,074.07	Professional		$810.32	$943.54	$5,074.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $9,030.00 / $17,774.00	Facility		$2,776.00	$9,030.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,086.57 / $1,384.16 / $2,737.01	Professional		$1,086.57	$1,384.16	$2,737.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,377.87	Facility		$66.00	$100.00	$10,377.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $740.18 / $1,061.43 / $2,418.94	Professional		$740.18	$1,061.43	$2,418.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $9,274.26 / $16,610.61	Facility		$2,813.00	$9,274.26	$16,610.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $964.12 / $1,218.35 / $2,610.21	Professional		$964.12	$1,218.35	$2,610.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $759.12 / $1,123.90 / $1,517.27	Professional		$759.12	$1,123.90	$1,517.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $911.20 / $1,265.55 / $2,267.39	Professional		$911.20	$1,265.55	$2,267.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,372.24 / $26,542.00 / $26,785.95	Facility		$6,372.24	$26,542.00	$26,785.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,911.00 / $8,911.00 / $8,911.00	Professional		$8,911.00	$8,911.00	$8,911.00
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 $1,015.32 / $1,257.72 / $1,884.42	Facility		$1,015.32	$1,257.72	$1,884.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $967.48 / $1,284.70 / $2,576.83	Professional		$967.48	$1,284.70	$2,576.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,148.36 / $3,148.36 / $3,148.36	Professional		$3,148.36	$3,148.36	$3,148.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $906.99 / $1,138.68 / $1,435.97	Professional		$906.99	$1,138.68	$1,435.97
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,313.00 / $26,451.00	Facility		$5,799.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $756.81 / $1,007.27 / $2,147.59	Professional		$756.81	$1,007.27	$2,147.59