Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,231.07 / $9,639.00 / $21,886.00	Facility		$2,231.07	$9,639.00	$21,886.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $857.70 / $1,023.16 / $5,180.93	Professional		$857.70	$1,023.16	$5,180.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,700.00 / $8,589.00 / $18,030.00	Facility		$1,700.00	$8,589.00	$18,030.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $923.54 / $1,185.98 / $2,444.88	Professional		$923.54	$1,185.98	$2,444.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $11,012.46	Facility		$67.90	$100.00	$11,012.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $742.45 / $1,110.65 / $2,565.58	Professional		$742.45	$1,110.65	$2,565.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $1,761.60 / $4,904.76	Facility		$732.00	$1,761.60	$4,904.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $865.94 / $1,212.53 / $2,701.30	Professional		$865.94	$1,212.53	$2,701.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $744.60 / $1,113.13 / $1,502.73	Professional		$744.60	$1,113.13	$1,502.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $916.06 / $1,201.11 / $2,154.26	Professional		$916.06	$1,201.11	$2,154.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,261.43 / $7,909.30 / $26,542.00	Facility		$6,261.43	$7,909.30	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,072.81 / $9,072.81 / $9,072.81	Professional		$9,072.81	$9,072.81	$9,072.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,343.66	Professional		$32.34	$32.34	$1,343.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $934.31 / $1,233.71 / $1,938.00	Facility		$934.31	$1,233.71	$1,938.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $886.23 / $1,285.97 / $2,602.61	Professional		$886.23	$1,285.97	$2,602.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,214.68 / $3,214.68 / $3,214.68	Professional		$3,214.68	$3,214.68	$3,214.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $595.67 / $1,010.84 / $1,340.28	Professional		$595.67	$1,010.84	$1,340.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,366.00 / $11,228.00 / $26,109.00	Facility		$2,366.00	$11,228.00	$26,109.00
United Facility/Professional Professional Modifier Low / Median / High Price $767.34 / $1,036.66 / $2,414.10	Professional		$767.34	$1,036.66	$2,414.10