Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $8,090.00 / $18,607.00	Facility		$2,843.00	$8,090.00	$18,607.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $826.28 / $976.10 / $5,175.02	Professional		$826.28	$976.10	$5,175.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,294.00 / $9,110.00 / $17,774.00	Facility		$3,294.00	$9,110.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,048.17 / $1,447.02 / $2,809.23	Professional		$1,048.17	$1,447.02	$2,809.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,378.59	Facility		$66.00	$100.00	$10,378.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $777.41 / $1,110.58 / $2,474.62	Professional		$777.41	$1,110.58	$2,474.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,500.00 / $21,287.66 / $38,127.15	Facility		$8,500.00	$21,287.66	$38,127.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $987.33 / $1,242.58 / $2,687.13	Professional		$987.33	$1,242.58	$2,687.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $683.54 / $1,145.41 / $1,546.30	Professional		$683.54	$1,145.41	$1,546.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $917.97 / $1,291.45 / $2,314.48	Professional		$917.97	$1,291.45	$2,314.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,655.80 / $33,500.00 / $61,483.10	Facility		$4,655.80	$33,500.00	$61,483.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,184.88 / $7,323.92 / $8,565.37	Professional		$7,184.88	$7,323.92	$8,565.37
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 $1,035.73 / $1,309.29 / $1,748.13	Facility		$1,035.73	$1,309.29	$1,748.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $999.53 / $1,288.24 / $2,646.98	Professional		$999.53	$1,288.24	$2,646.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,210.99 / $3,210.99 / $3,210.99	Professional		$3,210.99	$3,210.99	$3,210.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $888.61 / $1,039.83 / $1,293.00	Professional		$888.61	$1,039.83	$1,293.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,784.00 / $29,312.00	Facility		$7,696.00	$13,784.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $775.71 / $1,050.55 / $2,189.21	Professional		$775.71	$1,050.55	$2,189.21