Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,695.00 / $17,902.00	Facility		$1,820.00	$6,695.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $941.93 / $1,159.00 / $6,083.57	Professional		$941.93	$1,159.00	$6,083.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,140.00 / $14,981.00	Facility		$2,456.00	$7,140.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,152.27 / $1,723.94 / $3,193.53	Professional		$1,152.27	$1,723.94	$3,193.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,392.69	Facility		$66.00	$100.00	$8,392.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $787.30 / $1,126.83 / $2,573.81	Professional		$787.30	$1,126.83	$2,573.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $6,067.55 / $10,867.25	Facility		$2,277.00	$6,067.55	$10,867.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,019.04 / $1,329.32 / $2,889.04	Professional		$1,019.04	$1,329.32	$2,889.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $782.57 / $1,208.47 / $1,631.43	Professional		$782.57	$1,208.47	$1,631.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $986.89 / $1,373.45 / $2,497.02	Professional		$986.89	$1,373.45	$2,497.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,062.46 / $17,524.30 / $26,542.00	Facility		$6,062.46	$17,524.30	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,686.16 / $7,842.88 / $9,351.29	Professional		$7,686.16	$7,842.88	$9,351.29
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 $1,056.00 / $1,336.60 / $1,835.87	Facility		$1,056.00	$1,336.60	$1,835.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,019.04 / $1,383.61 / $2,839.99	Professional		$1,019.04	$1,383.61	$2,839.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,390.27 / $3,390.27 / $3,390.27	Professional		$3,390.27	$3,390.27	$3,390.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $974.48 / $1,173.85 / $1,480.33	Professional		$974.48	$1,173.85	$1,480.33
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,341.00 / $26,451.00	Facility		$5,799.00	$12,341.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $846.26 / $1,150.82 / $2,470.12	Professional		$846.26	$1,150.82	$2,470.12