Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $9,871.00 / $21,479.00	Facility		$2,421.00	$9,871.00	$21,479.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.34 / $1,258.96 / $6,582.56	Professional		$1,071.34	$1,258.96	$6,582.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,873.70 / $9,771.00 / $21,405.00	Facility		$2,873.70	$9,771.00	$21,405.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,218.26 / $1,607.87 / $3,204.47	Professional		$1,218.26	$1,607.87	$3,204.47
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 $890.84 / $1,320.00 / $3,098.96	Professional		$890.84	$1,320.00	$3,098.96
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 $1,116.34 / $1,556.27 / $3,459.25	Professional		$1,116.34	$1,556.27	$3,459.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,363.95 / $1,500.35 / $1,841.33	Professional		$1,363.95	$1,500.35	$1,841.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,160.64 / $1,511.58 / $2,787.95	Professional		$1,160.64	$1,511.58	$2,787.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,413.00 / $9,492.87 / $11,734.24	Facility		$5,413.00	$9,492.87	$11,734.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,972.08 / $9,184.32 / $10,975.95	Professional		$8,972.08	$9,184.32	$10,975.95
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 $1,209.26 / $1,567.78 / $2,476.66	Facility		$1,209.26	$1,567.78	$2,476.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,122.18 / $1,632.50 / $3,390.54	Professional		$1,122.18	$1,632.50	$3,390.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,084.36 / $4,084.36 / $4,084.36	Professional		$4,084.36	$4,084.36	$4,084.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,099.11 / $1,511.29 / $1,511.29	Professional		$1,099.11	$1,511.29	$1,511.29
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 $1,031.80 / $1,409.51 / $3,464.47	Professional		$1,031.80	$1,409.51	$3,464.47