Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,159.00 / $17,030.00	Facility		$1,919.00	$6,159.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $774.66 / $947.03 / $5,023.87	Professional		$774.66	$947.03	$5,023.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,977.00 / $13,012.00	Facility		$2,143.00	$5,977.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,008.67 / $1,394.73 / $2,726.58	Professional		$1,008.67	$1,394.73	$2,726.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,482.83	Facility		$66.00	$100.00	$7,482.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $686.05 / $988.07 / $2,242.79	Professional		$686.05	$988.07	$2,242.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $6,067.55 / $10,867.25	Facility		$1,992.00	$6,067.55	$10,867.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $868.97 / $1,168.60 / $2,596.26	Professional		$868.97	$1,168.60	$2,596.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $708.11 / $1,104.33 / $1,490.85	Professional		$708.11	$1,104.33	$1,490.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $892.99 / $1,246.74 / $2,260.29	Professional		$892.99	$1,246.74	$2,260.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,603.68 / $16,394.00 / $17,524.30	Facility		$3,603.68	$16,394.00	$17,524.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,949.04 / $7,086.24 / $8,285.70	Professional		$6,949.04	$7,086.24	$8,285.70
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 $969.60 / $1,187.14 / $1,633.99	Facility		$969.60	$1,187.14	$1,633.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $886.01 / $1,230.01 / $2,565.21	Professional		$886.01	$1,230.01	$2,565.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,117.23 / $3,117.23 / $3,117.23	Professional		$3,117.23	$3,117.23	$3,117.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $891.10 / $1,062.17 / $1,339.48	Professional		$891.10	$1,062.17	$1,339.48
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 $749.36 / $945.20 / $2,124.58	Professional		$749.36	$945.20	$2,124.58