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 $739.84 / $895.05 / $4,814.17	Professional		$739.84	$895.05	$4,814.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.00 / $10,710.50 / $22,790.97	Facility		$3,908.00	$10,710.50	$22,790.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,027.82 / $1,287.26 / $2,589.51	Professional		$1,027.82	$1,287.26	$2,589.51
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 $679.92 / $973.91 / $2,219.02	Professional		$679.92	$973.91	$2,219.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.26 / $1,128.43 / $2,479.75	Professional		$872.26	$1,128.43	$2,479.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $819.06 / $1,071.63 / $1,446.70	Professional		$819.06	$1,071.63	$1,446.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $868.01 / $1,205.56 / $2,159.59	Professional		$868.01	$1,205.56	$2,159.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,432.60 / $7,581.49	Facility		$55.00	$7,432.60	$7,581.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,557.67 / $14,015.54 / $14,015.54	Professional		$8,557.67	$14,015.54	$14,015.54
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 $964.45 / $1,192.86 / $1,835.18	Facility		$964.45	$1,192.86	$1,835.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $877.02 / $1,184.45 / $2,430.55	Professional		$877.02	$1,184.45	$2,430.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,987.11 / $2,987.11 / $2,987.11	Professional		$2,987.11	$2,987.11	$2,987.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $864.82 / $1,189.13 / $1,549.35	Professional		$864.82	$1,189.13	$1,549.35
United Facility/Professional Facility Modifier Low / Median / High Price $6,341.00 / $13,555.00 / $29,312.00	Facility		$6,341.00	$13,555.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $717.39 / $948.29 / $2,038.16	Professional		$717.39	$948.29	$2,038.16