Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $10,000.00	Facility		$1,023.29	$1,023.29	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $8,709.64	Professional		$776.25	$1,071.52	$8,709.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,000.00 / $4,570.88	Facility		$776.25	$1,000.00	$4,570.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $2,511.89	Professional		$1,047.13	$1,047.13	$2,511.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,981.07 / $5,370.32	Facility		$100.00	$3,981.07	$5,370.32
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $4,265.80 / $7,413.10	Professional		$2,238.72	$4,265.80	$7,413.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $1,479.11	Facility		$1,071.52	$1,479.11	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,479.11	Professional		$1,071.52	$1,071.52	$1,479.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $812.83 / $2,818.38	Professional		$645.65	$812.83	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,089.30 / $3,801.89	Professional		$1,412.54	$2,089.30	$3,801.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $10,964.78 / $10,964.78	Facility		$10,964.78	$10,964.78	$10,964.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,964.78 / $16,595.87 / $16,595.87	Professional		$10,964.78	$16,595.87	$16,595.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,905.46 / $2,818.38	Facility		$741.31	$1,905.46	$2,818.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,862.09	Professional		$1,071.52	$1,071.52	$1,862.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Professional		$4,365.16	$4,365.16	$4,365.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $977.24 / $2,089.30	Professional		$645.65	$977.24	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $1,122.02 / $2,344.23	Facility		$141.25	$1,122.02	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $2,290.87	Professional		$812.83	$1,023.29	$2,290.87