Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,381.80 / $9,386.00 / $21,357.00	Facility		$2,381.80	$9,386.00	$21,357.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.09 / $1,133.71 / $5,027.97	Professional		$933.09	$1,133.71	$5,027.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,700.00 / $9,043.00 / $19,398.00	Facility		$1,700.00	$9,043.00	$19,398.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,061.59 / $1,390.70 / $2,793.14	Professional		$1,061.59	$1,390.70	$2,793.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $11,539.24	Facility		$67.90	$100.00	$11,539.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $834.59 / $1,247.90 / $2,865.35	Professional		$834.59	$1,247.90	$2,865.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $3,461.93 / $10,261.32	Facility		$732.00	$3,461.93	$10,261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $985.15 / $1,371.42 / $3,064.27	Professional		$985.15	$1,371.42	$3,064.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $819.06 / $1,246.16 / $1,682.32	Professional		$819.06	$1,246.16	$1,682.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,024.42 / $1,343.36 / $2,716.63	Professional		$1,024.42	$1,343.36	$2,716.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,993.70 / $16,547.20 / $26,542.00	Facility		$6,993.70	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,430.60 / $11,430.60 / $11,430.60	Professional		$11,430.60	$11,430.60	$11,430.60
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 $1,054.25 / $1,397.98 / $2,180.25	Facility		$1,054.25	$1,397.98	$2,180.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $994.30 / $1,452.06 / $2,932.04	Professional		$994.30	$1,452.06	$2,932.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,588.78 / $3,588.78 / $3,588.78	Professional		$3,588.78	$3,588.78	$3,588.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $819.06 / $1,146.68 / $1,474.31	Professional		$819.06	$1,146.68	$1,474.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $11,228.00 / $26,109.00	Facility		$2,673.00	$11,228.00	$26,109.00
United Facility/Professional Professional Modifier Low / Median / High Price $864.60 / $1,189.76 / $2,731.42	Professional		$864.60	$1,189.76	$2,731.42