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 $869.45 / $986.42 / $4,573.00	Professional		$869.45	$986.42	$4,573.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,067.64 / $1,403.07 / $2,690.85	Professional		$1,067.64	$1,403.07	$2,690.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,826.58	Facility		$66.00	$100.00	$7,826.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $720.24 / $1,034.76 / $2,355.37	Professional		$720.24	$1,034.76	$2,355.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,360.35 / $4,227.49	Facility		$2,277.00	$2,360.35	$4,227.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $942.04 / $1,270.73 / $2,705.57	Professional		$942.04	$1,270.73	$2,705.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $864.85 / $1,136.07 / $1,635.98	Professional		$864.85	$1,136.07	$1,635.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $929.77 / $1,291.45 / $2,318.91	Professional		$929.77	$1,291.45	$2,318.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,779.88 / $6,817.20 / $26,542.00	Facility		$3,779.88	$6,817.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,600.59 / $8,600.59 / $8,689.58	Professional		$8,600.59	$8,600.59	$8,689.58
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 $1,053.82 / $1,290.72 / $1,832.85	Facility		$1,053.82	$1,290.72	$1,832.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $953.05 / $1,327.61 / $2,698.93	Professional		$953.05	$1,327.61	$2,698.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,310.00 / $3,310.00 / $3,310.00	Professional		$3,310.00	$3,310.00	$3,310.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $916.42 / $1,260.08 / $1,635.97	Professional		$916.42	$1,260.08	$1,635.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,213.00 / $9,131.00	Facility		$2,090.00	$4,213.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $796.77 / $1,039.66 / $2,240.90	Professional		$796.77	$1,039.66	$2,240.90