Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,870.00 / $19,368.00	Facility		$2,421.00	$8,870.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $859.58 / $1,005.38 / $5,515.05	Professional		$859.58	$1,005.38	$5,515.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $9,256.00 / $18,240.00	Facility		$2,675.00	$9,256.00	$18,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,185.89 / $1,485.24 / $2,922.43	Professional		$1,185.89	$1,485.24	$2,922.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,290.89	Facility		$66.00	$100.00	$15,290.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $803.30 / $1,157.66 / $2,626.10	Professional		$803.30	$1,157.66	$2,626.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $5,729.24 / $10,261.32	Facility		$2,277.00	$5,729.24	$10,261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,001.00 / $1,279.06 / $2,785.82	Professional		$1,001.00	$1,279.06	$2,785.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $893.89 / $1,171.99 / $1,690.91	Professional		$893.89	$1,171.99	$1,690.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $951.11 / $1,320.99 / $2,358.58	Professional		$951.11	$1,320.99	$2,358.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,490.16 / $16,547.20	Facility		$55.00	$7,490.16	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,778.46 / $13,778.46 / $13,778.46	Professional		$13,778.46	$13,778.46	$13,778.46
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 $1,056.93 / $1,328.31 / $2,016.00	Facility		$1,056.93	$1,328.31	$2,016.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,001.00 / $1,323.88 / $2,697.59	Professional		$1,001.00	$1,323.88	$2,697.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,421.99 / $3,421.99 / $3,421.99	Professional		$3,421.99	$3,421.99	$3,421.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $946.72 / $1,301.74 / $1,690.90	Professional		$946.72	$1,301.74	$1,690.90
United Facility/Professional Facility Modifier Low / Median / High Price $6,142.00 / $12,313.00 / $26,451.00	Facility		$6,142.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $823.32 / $1,075.69 / $2,346.48	Professional		$823.32	$1,075.69	$2,346.48