Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,200.00 / $8,924.00 / $21,960.90	Facility		$3,200.00	$8,924.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,070.16 / $1,261.33 / $6,484.41	Professional		$1,070.16	$1,261.33	$6,484.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $8,973.00 / $18,150.00	Facility		$1,500.00	$8,973.00	$18,150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,167.20 / $1,526.48 / $3,195.09	Professional		$1,167.20	$1,526.48	$3,195.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $16,577.74	Facility		$67.90	$100.00	$16,577.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $885.98 / $1,312.74 / $3,080.09	Professional		$885.98	$1,312.74	$3,080.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $1,434.80 / $22,920.00	Facility		$633.00	$1,434.80	$22,920.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.48 / $1,538.85 / $3,525.76	Professional		$1,122.48	$1,538.85	$3,525.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $746.83 / $1,355.89 / $1,762.66	Professional		$746.83	$1,355.89	$1,762.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,152.09 / $1,500.01 / $2,765.25	Professional		$1,152.09	$1,500.01	$2,765.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $10,160.00 / $22,189.40	Facility		$2,800.00	$10,160.00	$22,189.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,894.00 / $9,094.16 / $10,877.93	Professional		$8,894.00	$9,094.16	$10,877.93
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 $1,197.59 / $1,536.13 / $2,176.27	Facility		$1,197.59	$1,536.13	$2,176.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,128.65 / $1,635.00 / $3,353.56	Professional		$1,128.65	$1,635.00	$3,353.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,023.45 / $4,023.45 / $4,023.45	Professional		$4,023.45	$4,023.45	$4,023.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $746.83 / $1,229.27 / $1,502.44	Professional		$746.83	$1,229.27	$1,502.44
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.00 / $17,127.00 / $46,941.00	Facility		$6,760.00	$17,127.00	$46,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $978.29 / $1,356.80 / $3,024.93	Professional		$978.29	$1,356.80	$3,024.93