Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,864.00 / $10,107.00 / $25,328.00	Facility		$2,864.00	$10,107.00	$25,328.00
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 $3,537.00 / $11,437.00 / $21,194.00	Facility		$3,537.00	$11,437.00	$21,194.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,259.46 / $1,650.75 / $3,217.49	Professional		$1,259.46	$1,650.75	$3,217.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.00 / $100.00 / $10,150.11	Facility		$69.00	$100.00	$10,150.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $866.51 / $1,252.61 / $2,947.52	Professional		$866.51	$1,252.61	$2,947.52
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 $1,126.23 / $1,591.43 / $3,589.48	Professional		$1,126.23	$1,591.43	$3,589.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $925.91 / $1,383.53 / $1,867.77	Professional		$925.91	$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 $7,500.00 / $14,630.00 / $17,713.68	Facility		$7,500.00	$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 $1,215.92 / $1,564.01 / $2,401.73	Facility		$1,215.92	$1,564.01	$2,401.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,155.00 / $1,687.16 / $3,436.76	Professional		$1,155.00	$1,687.16	$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 $925.91 / $1,296.27 / $1,666.64	Professional		$925.91	$1,296.27	$1,666.64
United Facility/Professional Facility Modifier Low / Median / High Price $4,200.00 / $11,624.00 / $30,138.00	Facility		$4,200.00	$11,624.00	$30,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,030.68 / $1,379.36 / $3,088.58	Professional		$1,030.68	$1,379.36	$3,088.58