Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,231.07 / $9,560.00 / $21,886.00	Facility		$2,231.07	$9,560.00	$21,886.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.44 / $1,026.17 / $5,240.21	Professional		$836.44	$1,026.17	$5,240.21
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 $927.52 / $1,175.23 / $2,440.38	Professional		$927.52	$1,175.23	$2,440.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $14,865.02	Facility		$67.90	$100.00	$14,865.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $784.16 / $1,179.31 / $2,628.41	Professional		$784.16	$1,179.31	$2,628.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $3,461.93 / $9,842.49	Facility		$732.00	$3,461.93	$9,842.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $877.29 / $1,237.93 / $2,854.89	Professional		$877.29	$1,237.93	$2,854.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $632.91 / $1,209.25 / $1,632.49	Professional		$632.91	$1,209.25	$1,632.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $968.27 / $1,273.78 / $2,636.17	Professional		$968.27	$1,273.78	$2,636.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $14,442.95 / $16,547.20	Facility		$2,000.00	$14,442.95	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,375.48 / $7,375.48 / $8,421.08	Professional		$7,375.48	$7,375.48	$8,421.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,382.10	Professional		$32.34	$32.34	$1,382.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $897.27 / $1,275.30 / $1,886.17	Facility		$897.27	$1,275.30	$1,886.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $892.59 / $1,330.18 / $2,707.15	Professional		$892.59	$1,330.18	$2,707.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,251.43 / $3,251.43 / $3,251.43	Professional		$3,251.43	$3,251.43	$3,251.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $632.91 / $1,048.93 / $1,343.16	Professional		$632.91	$1,048.93	$1,343.16
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 $765.35 / $1,070.13 / $2,476.76	Professional		$765.35	$1,070.13	$2,476.76