Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $874.73 / $9,639.00 / $20,509.00	Facility		$874.73	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $781.40 / $936.26 / $5,044.79	Professional		$781.40	$936.26	$5,044.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $12,268.00 / $49,214.59	Facility		$4,314.00	$12,268.00	$49,214.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,045.18 / $1,365.12 / $2,633.85	Professional		$1,045.18	$1,365.12	$2,633.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $7,121.41	Facility		$64.40	$100.00	$7,121.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $704.42 / $1,010.36 / $2,302.79	Professional		$704.42	$1,010.36	$2,302.79
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 $907.26 / $1,202.78 / $2,598.31	Professional		$907.26	$1,202.78	$2,598.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $843.26 / $1,110.86 / $1,499.67	Professional		$843.26	$1,110.86	$1,499.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $902.21 / $1,253.06 / $2,245.89	Professional		$902.21	$1,253.06	$2,245.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,646.32 / $6,775.44	Facility		$55.00	$6,646.32	$6,775.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,975.92 / $7,111.44 / $8,316.45	Professional		$6,975.92	$7,111.44	$8,316.45
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 $1,003.80 / $1,241.53 / $1,680.00	Facility		$1,003.80	$1,241.53	$1,680.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $912.60 / $1,279.59 / $2,558.01	Professional		$912.60	$1,279.59	$2,558.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,130.21 / $3,130.21 / $3,130.21	Professional		$3,130.21	$3,130.21	$3,130.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $896.41 / $1,232.56 / $1,595.13	Professional		$896.41	$1,232.56	$1,595.13
United Facility/Professional Facility Modifier Low / Median / High Price $8,830.00 / $17,163.00 / $37,944.00	Facility		$8,830.00	$17,163.00	$37,944.00
United Facility/Professional Professional Modifier Low / Median / High Price $753.30 / $991.38 / $2,077.77	Professional		$753.30	$991.38	$2,077.77