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 $952.06 / $1,130.83 / $5,656.73	Professional		$952.06	$1,130.83	$5,656.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.00 / $10,050.00 / $21,514.00	Facility		$3,908.00	$10,050.00	$21,514.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,149.11 / $1,602.66 / $3,070.86	Professional		$1,149.11	$1,602.66	$3,070.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,714.18	Facility		$64.40	$100.00	$5,714.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $920.34 / $1,336.61 / $2,929.57	Professional		$920.34	$1,336.61	$2,929.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,088.53 / $1,448.75 / $3,132.94	Professional		$1,088.53	$1,448.75	$3,132.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $813.10 / $1,230.47 / $1,609.29	Professional		$813.10	$1,230.47	$1,609.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,025.39 / $1,424.71 / $2,558.67	Professional		$1,025.39	$1,424.71	$2,558.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $6,025.02 / $7,673.04	Facility		$2,000.00	$6,025.02	$7,673.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,883.04 / $8,097.76 / $9,176.18	Professional		$7,883.04	$8,097.76	$9,176.18
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 $1,130.43 / $1,413.04 / $1,919.00	Facility		$1,130.43	$1,413.04	$1,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,088.53 / $1,505.48 / $2,940.92	Professional		$1,088.53	$1,505.48	$2,940.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,509.89 / $3,509.89 / $3,509.89	Professional		$3,509.89	$3,509.89	$3,509.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,039.84 / $1,219.65 / $1,538.08	Professional		$1,039.84	$1,219.65	$1,538.08
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 $859.60 / $1,181.88 / $2,392.86	Professional		$859.60	$1,181.88	$2,392.86