Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,695.00 / $17,701.00	Facility		$1,820.00	$6,695.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $889.39 / $1,007.24 / $5,379.05	Professional		$889.39	$1,007.24	$5,379.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,093.59 / $1,477.97 / $2,799.76	Professional		$1,093.59	$1,477.97	$2,799.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,138.75	Facility		$66.00	$100.00	$8,138.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $657.72 / $944.25 / $2,161.57	Professional		$657.72	$944.25	$2,161.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,101.23 / $5,554.45	Facility		$2,277.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $862.44 / $1,237.89 / $2,712.90	Professional		$862.44	$1,237.89	$2,712.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $730.08 / $1,108.59 / $1,496.61	Professional		$730.08	$1,108.59	$1,496.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $911.55 / $1,269.91 / $2,270.31	Professional		$911.55	$1,269.91	$2,270.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,583.55 / $8,957.00 / $26,542.00	Facility		$4,583.55	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,379.60 / $7,546.48 / $8,170.20	Professional		$7,379.60	$7,546.48	$8,170.20
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 $997.47 / $1,254.23 / $1,742.98	Facility		$997.47	$1,254.23	$1,742.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $884.69 / $1,299.41 / $2,629.91	Professional		$884.69	$1,299.41	$2,629.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,337.60 / $3,337.60 / $3,337.60	Professional		$3,337.60	$3,337.60	$3,337.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $895.50 / $1,095.11 / $1,381.03	Professional		$895.50	$1,095.11	$1,381.03
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,758.00 / $21,278.00	Facility		$4,523.00	$9,758.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $765.44 / $1,055.88 / $2,258.12	Professional		$765.44	$1,055.88	$2,258.12