Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $901.59 / $9,639.00 / $20,509.00	Facility		$901.59	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $785.83 / $967.47 / $4,938.42	Professional		$785.83	$967.47	$4,938.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,043.00 / $8,932.00 / $18,903.00	Facility		$4,043.00	$8,932.00	$18,903.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,159.16 / $1,453.78 / $2,735.88	Professional		$1,159.16	$1,453.78	$2,735.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,455.40	Facility		$63.90	$100.00	$5,455.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $642.99 / $918.77 / $2,089.28	Professional		$642.99	$918.77	$2,089.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.14 / $1,166.91 / $2,501.77	Professional		$881.14	$1,166.91	$2,501.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $967.98 / $1,113.18 / $1,483.53	Professional		$967.98	$1,113.18	$1,483.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $909.48 / $1,263.16 / $2,272.02	Professional		$909.48	$1,263.16	$2,272.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,131.48 / $10,354.95	Facility		$55.00	$10,131.48	$10,354.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,339.16 / $7,339.16 / $8,920.87	Professional		$7,339.16	$7,339.16	$8,920.87
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 $974.95 / $1,235.18 / $1,903.12	Facility		$974.95	$1,235.18	$1,903.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $881.14 / $1,197.77 / $2,581.34	Professional		$881.14	$1,197.77	$2,581.34
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,064.19 / $3,064.19 / $3,064.19	Professional		$3,064.19	$3,064.19	$3,064.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $967.98 / $1,216.77 / $1,831.05	Professional		$967.98	$1,216.77	$1,831.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,067.00 / $18,493.00	Facility		$2,009.00	$5,067.00	$18,493.00
United Facility/Professional Professional Modifier Low / Median / High Price $760.32 / $989.79 / $2,104.05	Professional		$760.32	$989.79	$2,104.05