Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.00 / $6,514.14 / $18,483.00	Facility		$1,479.00	$6,514.14	$18,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $928.99 / $1,111.16 / $5,784.32	Professional		$928.99	$1,111.16	$5,784.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.19 / $5,793.00 / $11,233.00	Facility		$1,223.19	$5,793.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $919.86 / $1,311.60 / $2,719.02	Professional		$919.86	$1,311.60	$2,719.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $7,100.20	Facility		$67.90	$100.00	$7,100.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $694.13 / $1,003.63 / $2,421.21	Professional		$694.13	$1,003.63	$2,421.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $535.00 / $1,766.05 / $4,917.14	Facility		$535.00	$1,766.05	$4,917.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $928.59 / $1,346.51 / $3,079.86	Professional		$928.59	$1,346.51	$3,079.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $306.39 / $1,265.15 / $1,707.95	Professional		$306.39	$1,265.15	$1,707.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,043.85 / $1,370.04 / $2,453.86	Professional		$1,043.85	$1,370.04	$2,453.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,111.42 / $7,929.30 / $16,394.00	Facility		$6,111.42	$7,929.30	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,018.24 / $8,202.56 / $9,253.20	Professional		$8,018.24	$8,202.56	$9,253.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $986.04	Professional		$32.34	$32.34	$986.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,014.03 / $1,344.75 / $1,930.48	Facility		$1,014.03	$1,344.75	$1,930.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $958.75 / $1,440.48 / $2,961.51	Professional		$958.75	$1,440.48	$2,961.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,589.05 / $3,589.05 / $3,589.05	Professional		$3,589.05	$3,589.05	$3,589.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $306.39 / $551.53 / $1,404.69	Professional		$306.39	$551.53	$1,404.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,385.54 / $9,539.00 / $21,278.00	Facility		$2,385.54	$9,539.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $853.20 / $1,169.20 / $2,705.70	Professional		$853.20	$1,169.20	$2,705.70