Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,956.72 / $8,479.00 / $20,509.00	Facility		$1,956.72	$8,479.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $731.28 / $864.17 / $4,348.68	Professional		$731.28	$864.17	$4,348.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $8,484.00 / $18,150.00	Facility		$1,500.00	$8,484.00	$18,150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $854.87 / $1,082.00 / $2,154.30	Professional		$854.87	$1,082.00	$2,154.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $10,150.11	Facility		$67.90	$100.00	$10,150.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $682.56 / $1,010.38 / $2,266.91	Professional		$682.56	$1,010.38	$2,266.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $643.00 / $3,461.93 / $10,261.32	Facility		$643.00	$3,461.93	$10,261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $806.58 / $1,069.52 / $2,364.06	Professional		$806.58	$1,069.52	$2,364.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $950.27 / $1,045.30 / $4,090.27	Professional		$950.27	$1,045.30	$4,090.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $778.65 / $1,022.68 / $1,824.37	Professional		$778.65	$1,022.68	$1,824.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,525.38 / $16,547.20 / $26,542.00	Facility		$4,525.38	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,007.28 / $7,007.28 / $7,007.28	Professional		$7,007.28	$7,007.28	$7,007.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,175.08	Professional		$32.34	$32.34	$1,175.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $810.90 / $1,081.09 / $1,758.40	Facility		$810.90	$1,081.09	$1,758.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $810.90 / $1,145.21 / $2,268.30	Professional		$810.90	$1,145.21	$2,268.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,698.26 / $2,698.26 / $2,698.26	Professional		$2,698.26	$2,698.26	$2,698.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $767.38 / $1,055.14 / $1,055.14	Professional		$767.38	$1,055.14	$1,055.14
United Facility/Professional Facility Modifier Low / Median / High Price $3,570.00 / $11,624.00 / $26,451.00	Facility		$3,570.00	$11,624.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $667.44 / $923.51 / $2,079.91	Professional		$667.44	$923.51	$2,079.91