Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,006.00 / $19,860.00	Facility		$2,616.00	$9,006.00	$19,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $778.03 / $868.93 / $4,746.89	Professional		$778.03	$868.93	$4,746.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,019.73 / $9,729.07 / $20,083.16	Facility		$4,019.73	$9,729.07	$20,083.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,068.53 / $1,400.50 / $2,692.70	Professional		$1,068.53	$1,400.50	$2,692.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $5,509.60	Facility		$64.20	$100.00	$5,509.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $659.89 / $1,017.53 / $2,496.08	Professional		$659.89	$1,017.53	$2,496.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $858.41 / $1,137.68 / $3,308.37	Professional		$858.41	$1,137.68	$3,308.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,002.29 / $1,102.52 / $1,302.98	Professional		$1,002.29	$1,102.52	$1,302.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $902.06 / $1,154.14 / $2,055.26	Professional		$902.06	$1,154.14	$2,055.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,874.33 / $7,434.14	Facility		$55.00	$5,874.33	$7,434.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,710.08 / $6,731.68 / $7,648.95	Professional		$6,710.08	$6,731.68	$7,648.95
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 $914.88 / $1,184.00 / $1,849.13	Facility		$914.88	$1,184.00	$1,849.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $859.80 / $1,156.13 / $2,559.86	Professional		$859.80	$1,156.13	$2,559.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,945.35 / $2,945.35 / $2,945.35	Professional		$2,945.35	$2,945.35	$2,945.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $709.38 / $993.13 / $1,205.95	Professional		$709.38	$993.13	$1,205.95
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,759.00 / $22,073.00	Facility		$4,728.00	$9,759.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $718.90 / $1,046.97 / $3,022.02	Professional		$718.90	$1,046.97	$3,022.02