Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.00 / $6,423.00 / $18,483.00	Facility		$1,539.00	$6,423.00	$18,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $905.83 / $1,066.65 / $5,297.28	Professional		$905.83	$1,066.65	$5,297.28
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 $934.20 / $1,306.43 / $2,628.66	Professional		$934.20	$1,306.43	$2,628.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $5,321.49	Facility		$67.90	$100.00	$5,321.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $695.35 / $1,012.37 / $2,412.32	Professional		$695.35	$1,012.37	$2,412.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $766.00 / $5,890.00	Facility		$633.00	$766.00	$5,890.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $910.51 / $1,272.73 / $2,803.83	Professional		$910.51	$1,272.73	$2,803.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $590.47 / $893.56 / $1,499.78	Professional		$590.47	$893.56	$1,499.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $957.71 / $1,255.40 / $2,259.69	Professional		$957.71	$1,255.40	$2,259.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,142.19 / $8,353.03	Facility		$55.00	$8,142.19	$8,353.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,392.08 / $7,582.64 / $8,563.50	Professional		$7,392.08	$7,582.64	$8,563.50
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 $967.72 / $1,255.15 / $1,755.80	Facility		$967.72	$1,255.15	$1,755.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $932.57 / $1,346.51 / $2,709.03	Professional		$932.57	$1,346.51	$2,709.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,286.87 / $3,286.87 / $3,286.87	Professional		$3,286.87	$3,286.87	$3,286.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $590.47 / $1,003.80 / $1,280.60	Professional		$590.47	$1,003.80	$1,280.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $7,042.00 / $14,743.00	Facility		$1,638.00	$7,042.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $814.81 / $1,105.80 / $2,971.14	Professional		$814.81	$1,105.80	$2,971.14