Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $6,314.00 / $17,701.00	Facility		$2,020.00	$6,314.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $833.16 / $1,027.47 / $5,368.94	Professional		$833.16	$1,027.47	$5,368.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $7,070.00 / $14,743.00	Facility		$2,275.00	$7,070.00	$14,743.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,124.70 / $1,608.02 / $3,169.61	Professional		$1,124.70	$1,608.02	$3,169.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $10,117.12	Facility		$66.09	$100.00	$10,117.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $568.66 / $836.62 / $2,042.24	Professional		$568.66	$836.62	$2,042.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $3,203.00 / $3,203.00	Facility		$3,203.00	$3,203.00	$3,203.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $869.13 / $1,259.49 / $3,076.76	Professional		$869.13	$1,259.49	$3,076.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $699.18 / $1,185.64 / $1,482.05	Professional		$699.18	$1,185.64	$1,482.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.83 / $1,355.16 / $2,350.11	Professional		$1,023.83	$1,355.16	$2,350.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,202.52 / $14,250.25	Facility		$55.00	$12,202.52	$14,250.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,369.68 / $7,526.48 / $8,782.87	Professional		$7,369.68	$7,526.48	$8,782.87
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 $1,013.96 / $1,300.96 / $1,798.90	Facility		$1,013.96	$1,300.96	$1,798.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $870.55 / $1,308.08 / $2,782.00	Professional		$870.55	$1,308.08	$2,782.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,331.32 / $3,331.32 / $3,331.32	Professional		$3,331.32	$3,331.32	$3,331.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $699.18 / $1,076.51 / $1,315.73	Professional		$699.18	$1,076.51	$1,315.73
United Facility/Professional Facility Modifier Low / Median / High Price $5,416.00 / $12,341.00 / $26,672.00	Facility		$5,416.00	$12,341.00	$26,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $781.70 / $1,064.88 / $2,532.58	Professional		$781.70	$1,064.88	$2,532.58