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 $807.36 / $941.36 / $5,056.04	Professional		$807.36	$941.36	$5,056.04
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 $1,091.08 / $1,432.58 / $2,746.42	Professional		$1,091.08	$1,432.58	$2,746.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,035.69	Facility		$66.00	$100.00	$11,035.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $760.41 / $1,089.57 / $2,480.13	Professional		$760.41	$1,089.57	$2,480.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $6,894.76 / $12,348.83	Facility		$2,813.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.44 / $1,211.29 / $2,612.92	Professional		$966.44	$1,211.29	$2,612.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $759.12 / $1,120.27 / $1,512.36	Professional		$759.12	$1,120.27	$1,512.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $908.19 / $1,261.38 / $2,259.88	Professional		$908.19	$1,261.38	$2,259.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,536.25 / $19,913.50 / $26,542.00	Facility		$4,536.25	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,004.32 / $7,146.88 / $8,346.08	Professional		$7,004.32	$7,146.88	$8,346.08
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 $1,011.97 / $1,269.88 / $1,881.37	Facility		$1,011.97	$1,269.88	$1,881.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $966.68 / $1,259.38 / $2,584.09	Professional		$966.68	$1,259.38	$2,584.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,137.19 / $3,137.19 / $3,137.19	Professional		$3,137.19	$3,137.19	$3,137.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $904.06 / $1,138.68 / $1,435.97	Professional		$904.06	$1,138.68	$1,435.97
United Facility/Professional Facility Modifier Low / Median / High Price $6,437.00 / $11,350.00 / $24,889.00	Facility		$6,437.00	$11,350.00	$24,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $754.11 / $1,005.48 / $2,117.77	Professional		$754.11	$1,005.48	$2,117.77