Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,007.38 / $9,674.00 / $22,788.00	Facility		$1,007.38	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $856.63 / $1,007.38 / $5,249.87	Professional		$856.63	$1,007.38	$5,249.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,917.00 / $9,106.31 / $19,574.00	Facility		$3,917.00	$9,106.31	$19,574.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $972.75 / $1,254.83 / $2,524.85	Professional		$972.75	$1,254.83	$2,524.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,487.90	Facility		$63.90	$100.00	$5,487.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $679.94 / $981.97 / $2,306.17	Professional		$679.94	$981.97	$2,306.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $766.00 / $5,431.00	Facility		$633.00	$766.00	$5,431.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $877.30 / $1,239.66 / $2,769.59	Professional		$877.30	$1,239.66	$2,769.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $550.63 / $833.27 / $1,423.37	Professional		$550.63	$833.27	$1,423.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $930.92 / $1,212.15 / $2,230.36	Professional		$930.92	$1,212.15	$2,230.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,183.76 / $9,388.95	Facility		$55.00	$9,183.76	$9,388.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,189.92 / $7,348.88 / $8,796.98	Professional		$7,189.92	$7,348.88	$8,796.98
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 $955.35 / $1,241.23 / $1,900.80	Facility		$955.35	$1,241.23	$1,900.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $892.79 / $1,307.73 / $2,717.45	Professional		$892.79	$1,307.73	$2,717.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,257.43 / $3,257.43 / $3,257.43	Professional		$3,257.43	$3,257.43	$3,257.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $550.63 / $936.07 / $1,213.20	Professional		$550.63	$936.07	$1,213.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $4,675.00 / $20,279.00	Facility		$1,204.00	$4,675.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $813.82 / $1,093.91 / $2,449.41	Professional		$813.82	$1,093.91	$2,449.41