Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,130.74 / $9,674.00 / $22,788.00	Facility		$1,130.74	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $951.72 / $1,130.74 / $5,864.55	Professional		$951.72	$1,130.74	$5,864.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $5,944.00 / $13,697.00	Facility		$2,097.00	$5,944.00	$13,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $990.00 / $1,390.58 / $2,797.97	Professional		$990.00	$1,390.58	$2,797.97
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $5,403.01	Facility		$66.70	$100.00	$5,403.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $725.33 / $1,047.89 / $2,502.04	Professional		$725.33	$1,047.89	$2,502.04
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 $952.82 / $1,388.73 / $3,198.78	Professional		$952.82	$1,388.73	$3,198.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $654.50 / $990.46 / $1,673.27	Professional		$654.50	$990.46	$1,673.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,083.03 / $1,411.80 / $2,585.29	Professional		$1,083.03	$1,411.80	$2,585.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,939.08 / $8,106.54	Facility		$55.00	$7,939.08	$8,106.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,286.24 / $8,458.79 / $10,111.79	Professional		$8,286.24	$8,458.79	$10,111.79
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 $1,064.09 / $1,420.46 / $1,985.56	Facility		$1,064.09	$1,420.46	$1,985.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $991.58 / $1,476.05 / $3,043.15	Professional		$991.58	$1,476.05	$3,043.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,638.84 / $3,638.84 / $3,638.84	Professional		$3,638.84	$3,638.84	$3,638.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $654.50 / $1,112.66 / $1,426.74	Professional		$654.50	$1,112.66	$1,426.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.00 / $4,820.00 / $20,279.00	Facility		$1,055.00	$4,820.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $885.64 / $1,210.64 / $2,995.95	Professional		$885.64	$1,210.64	$2,995.95