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 $764.07 / $892.84 / $4,788.87	Professional		$764.07	$892.84	$4,788.87
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 $1,010.80 / $1,277.95 / $2,557.35	Professional		$1,010.80	$1,277.95	$2,557.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,493.03	Facility		$66.00	$100.00	$8,493.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $672.27 / $966.33 / $2,194.05	Professional		$672.27	$966.33	$2,194.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,612.76 / $3,818.41 / $4,574.89	Professional		$3,612.76	$3,818.41	$4,574.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $674.61 / $1,069.42 / $7,275.63	Professional		$674.61	$1,069.42	$7,275.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $865.12 / $1,200.89 / $2,151.82	Professional		$865.12	$1,200.89	$2,151.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,305.95 / $26,542.00 / $29,433.60	Facility		$4,305.95	$26,542.00	$29,433.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,650.24 / $6,778.88 / $7,926.53	Professional		$6,650.24	$6,778.88	$7,926.53
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 $960.64 / $1,185.28 / $1,714.43	Facility		$960.64	$1,185.28	$1,714.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,016.03 / $1,828.53 / $2,483.86	Professional		$1,016.03	$1,828.53	$2,483.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,971.40 / $2,971.40 / $2,971.40	Professional		$2,971.40	$2,971.40	$2,971.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $863.09 / $970.97 / $1,186.75	Professional		$863.09	$970.97	$1,186.75
United Facility/Professional Facility Modifier Low / Median / High Price $6,437.00 / $11,350.00 / $24,268.00	Facility		$6,437.00	$11,350.00	$24,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $713.07 / $949.36 / $2,014.46	Professional		$713.07	$949.36	$2,014.46