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 $729.29 / $835.40 / $5,796.67	Professional		$729.29	$835.40	$5,796.67
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 $862.69 / $1,094.67 / $2,173.98	Professional		$862.69	$1,094.67	$2,173.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,908.14	Facility		$66.00	$100.00	$7,908.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $631.53 / $902.19 / $2,095.96	Professional		$631.53	$902.19	$2,095.96
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 $698.20 / $1,118.61 / $2,720.05	Professional		$698.20	$1,118.61	$2,720.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $562.54 / $1,263.28 / $1,705.43	Professional		$562.54	$1,263.28	$1,705.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,016.03 / $1,428.45 / $2,561.50	Professional		$1,016.03	$1,428.45	$2,561.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,174.60 / $8,957.00 / $26,542.00	Facility		$5,174.60	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,980.88 / $8,142.08 / $9,514.73	Professional		$7,980.88	$8,142.08	$9,514.73
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 $807.77 / $1,323.17 / $1,831.76	Facility		$807.77	$1,323.17	$1,831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $705.73 / $1,212.82 / $2,832.57	Professional		$705.73	$1,212.82	$2,832.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,596.71 / $3,596.71 / $3,596.71	Professional		$3,596.71	$3,596.71	$3,596.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $731.31 / $1,019.30 / $1,401.54	Professional		$731.31	$1,019.30	$1,401.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $693.01 / $995.41 / $2,448.56	Professional		$693.01	$995.41	$2,448.56