Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $10,051.00 / $25,443.00	Facility		$2,843.00	$10,051.00	$25,443.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,077.27 / $1,273.36 / $6,603.58	Professional		$1,077.27	$1,273.36	$6,603.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,519.00 / $11,059.00 / $22,550.00	Facility		$4,519.00	$11,059.00	$22,550.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.64 / $1,649.67 / $3,217.49	Professional		$1,258.64	$1,649.67	$3,217.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $10,033.91	Facility		$67.90	$100.00	$10,033.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $866.30 / $1,252.26 / $2,947.01	Professional		$866.30	$1,252.26	$2,947.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $664.60 / $7,500.00 / $34,622.00	Facility		$664.60	$7,500.00	$34,622.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,123.70 / $1,590.92 / $3,589.48	Professional		$1,123.70	$1,590.92	$3,589.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $925.54 / $1,383.53 / $1,867.77	Professional		$925.54	$1,383.53	$1,867.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,217.35 / $1,550.95 / $2,883.67	Professional		$1,217.35	$1,550.95	$2,883.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $14,630.00 / $17,713.68	Facility		$4,500.00	$14,630.00	$17,713.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,854.73 / $9,854.73 / $11,047.88	Professional		$9,854.73	$9,854.73	$11,047.88
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 $1,215.89 / $1,564.01 / $2,400.94	Facility		$1,215.89	$1,564.01	$2,400.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,155.00 / $1,686.85 / $3,436.76	Professional		$1,155.00	$1,686.85	$3,436.76
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $29,585.00 / $29,585.00 / $29,585.00	Facility		$29,585.00	$29,585.00	$29,585.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,097.39 / $4,097.39 / $4,097.39	Professional		$4,097.39	$4,097.39	$4,097.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $925.54 / $1,295.75 / $1,665.97	Professional		$925.54	$1,295.75	$1,665.97
United Facility/Professional Facility Modifier Low / Median / High Price $3,575.00 / $10,001.00 / $28,023.00	Facility		$3,575.00	$10,001.00	$28,023.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.13 / $1,390.21 / $3,195.46	Professional		$1,023.13	$1,390.21	$3,195.46