Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,598.00 / $18,293.00	Facility		$1,919.00	$6,598.00	$18,293.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $853.27 / $1,012.05 / $5,293.94	Professional		$853.27	$1,012.05	$5,293.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,622.00 / $5,863.00 / $11,233.00	Facility		$1,622.00	$5,863.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $973.72 / $1,258.11 / $2,511.98	Professional		$973.72	$1,258.11	$2,511.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $6,919.63	Facility		$67.90	$100.00	$6,919.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $704.19 / $1,023.12 / $2,418.02	Professional		$704.19	$1,023.12	$2,418.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $628.36 / $1,766.05 / $4,917.14	Facility		$628.36	$1,766.05	$4,917.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $880.78 / $1,256.16 / $2,817.63	Professional		$880.78	$1,256.16	$2,817.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $692.85 / $1,121.58 / $1,514.13	Professional		$692.85	$1,121.58	$1,514.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $947.73 / $1,234.46 / $2,267.67	Professional		$947.73	$1,234.46	$2,267.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,686.72 / $9,298.24 / $16,394.00	Facility		$7,686.72	$9,298.24	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,279.28 / $7,438.40 / $8,891.62	Professional		$7,279.28	$7,438.40	$8,891.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $759.46	Professional		$32.34	$32.34	$759.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $986.08 / $1,273.73 / $1,880.62	Facility		$986.08	$1,273.73	$1,880.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $898.44 / $1,318.73 / $2,741.39	Professional		$898.44	$1,318.73	$2,741.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,284.79 / $3,284.79 / $3,284.79	Professional		$3,284.79	$3,284.79	$3,284.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $692.85 / $1,021.88 / $1,247.13	Professional		$692.85	$1,021.88	$1,247.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,250.00 / $7,042.00 / $14,743.00	Facility		$2,250.00	$7,042.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $805.68 / $1,104.08 / $2,472.98	Professional		$805.68	$1,104.08	$2,472.98