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 / $18,483.00	Facility		$1,992.00	$7,648.00	$18,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $828.77 / $951.65 / $5,121.88	Professional		$828.77	$951.65	$5,121.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $11,780.00 / $25,636.00	Facility		$3,585.00	$11,780.00	$25,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,097.53 / $1,385.22 / $2,765.78	Professional		$1,097.53	$1,385.22	$2,765.78
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 $657.13 / $941.16 / $2,142.31	Professional		$657.13	$941.16	$2,142.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,980.00 / $6,894.76 / $12,348.83	Facility		$5,980.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $920.26 / $1,209.45 / $2,635.19	Professional		$920.26	$1,209.45	$2,635.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $741.62 / $1,130.66 / $4,922.37	Professional		$741.62	$1,130.66	$4,922.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $918.13 / $1,275.18 / $2,354.19	Professional		$918.13	$1,275.18	$2,354.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,599.05 / $19,913.50	Facility		$55.00	$4,599.05	$19,913.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,097.52 / $7,235.44 / $8,460.08	Professional		$7,097.52	$7,235.44	$8,460.08
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 $1,007.19 / $1,258.99 / $1,824.77	Facility		$1,007.19	$1,258.99	$1,824.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $923.67 / $1,263.38 / $2,616.42	Professional		$923.67	$1,263.38	$2,616.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,178.02 / $3,178.02 / $3,178.02	Professional		$3,178.02	$3,178.02	$3,178.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $912.38 / $1,026.43 / $1,260.76	Professional		$912.38	$1,026.43	$1,260.76
United Facility/Professional Facility Modifier Low / Median / High Price $6,087.45 / $12,341.00 / $26,451.00	Facility		$6,087.45	$12,341.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $764.91 / $1,004.08 / $2,150.60	Professional		$764.91	$1,004.08	$2,150.60