Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.00 / $6,140.99 / $17,030.00	Facility		$1,539.00	$6,140.99	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $892.11 / $1,065.53 / $5,479.25	Professional		$892.11	$1,065.53	$5,479.25
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 $1,117.57 / $1,666.32 / $3,037.01	Professional		$1,117.57	$1,666.32	$3,037.01
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 $783.05 / $1,124.22 / $2,525.48	Professional		$783.05	$1,124.22	$2,525.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $9,011.20 / $16,139.47	Facility		$1,992.00	$9,011.20	$16,139.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $988.16 / $1,299.28 / $2,813.89	Professional		$988.16	$1,299.28	$2,813.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $599.03 / $1,191.65 / $1,608.73	Professional		$599.03	$1,191.65	$1,608.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $959.76 / $1,348.98 / $2,419.48	Professional		$959.76	$1,348.98	$2,419.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,895.45 / $16,394.00 / $26,026.20	Facility		$4,895.45	$16,394.00	$26,026.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,550.08 / $7,708.72 / $8,998.50	Professional		$7,550.08	$7,708.72	$8,998.50
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 $1,085.14 / $1,319.72 / $1,802.41	Facility		$1,085.14	$1,319.72	$1,802.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,007.86 / $1,357.15 / $2,795.23	Professional		$1,007.86	$1,357.15	$2,795.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,399.78 / $3,399.78 / $3,399.78	Professional		$3,399.78	$3,399.78	$3,399.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $778.74 / $1,070.66 / $1,322.02	Professional		$778.74	$1,070.66	$1,322.02
United Facility/Professional Facility Modifier Low / Median / High Price $6,142.00 / $12,377.00 / $26,451.00	Facility		$6,142.00	$12,377.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $842.24 / $1,099.53 / $2,545.53	Professional		$842.24	$1,099.53	$2,545.53