Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $8,870.00 / $19,860.00	Facility		$2,616.00	$8,870.00	$19,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $745.50 / $874.92 / $4,679.41	Professional		$745.50	$874.92	$4,679.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.00 / $11,400.00 / $34,433.58	Facility		$3,908.00	$11,400.00	$34,433.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,017.71 / $1,290.03 / $2,541.07	Professional		$1,017.71	$1,290.03	$2,541.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,509.60	Facility		$64.40	$100.00	$5,509.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $718.96 / $1,030.57 / $2,298.14	Professional		$718.96	$1,030.57	$2,298.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,521.56 / $3,722.02 / $4,459.39	Professional		$3,521.56	$3,722.02	$4,459.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $765.66 / $1,297.84	Professional		$505.96	$765.66	$1,297.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.25 / $1,169.68 / $2,095.92	Professional		$831.25	$1,169.68	$2,095.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,225.26 / $7,368.13	Facility		$55.00	$7,225.26	$7,368.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,498.96 / $6,626.80 / $7,748.93	Professional		$6,498.96	$6,626.80	$7,748.93
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 $906.03 / $1,144.40 / $1,528.18	Facility		$906.03	$1,144.40	$1,528.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $989.94 / $1,786.16 / $2,431.19	Professional		$989.94	$1,786.16	$2,431.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,903.47 / $2,903.47 / $2,903.47	Professional		$2,903.47	$2,903.47	$2,903.47
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $657.74 / $910.72 / $1,152.06	Professional		$657.74	$910.72	$1,152.06
United Facility/Professional Facility Modifier Low / Median / High Price $7,694.00 / $13,007.00 / $28,973.00	Facility		$7,694.00	$13,007.00	$28,973.00
United Facility/Professional Professional Modifier Low / Median / High Price $713.98 / $930.61 / $1,927.26	Professional		$713.98	$930.61	$1,927.26