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 $925.88 / $1,111.05 / $5,357.14	Professional		$925.88	$1,111.05	$5,357.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,403.00 / $9,447.00 / $18,544.00	Facility		$3,403.00	$9,447.00	$18,544.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,132.80 / $1,504.12 / $2,908.42	Professional		$1,132.80	$1,504.12	$2,908.42
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 $934.82 / $1,335.46 / $2,924.12	Professional		$934.82	$1,335.46	$2,924.12
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 $1,067.39 / $1,386.05 / $2,984.41	Professional		$1,067.39	$1,386.05	$2,984.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $973.94 / $1,232.80 / $1,664.28	Professional		$973.94	$1,232.80	$1,664.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $987.80 / $1,362.58 / $2,447.94	Professional		$987.80	$1,362.58	$2,447.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,518.56 / $9,743.68	Facility		$55.00	$9,518.56	$9,743.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,228.59 / $10,228.59 / $10,228.59	Professional		$10,228.59	$10,228.59	$10,228.59
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 $1,081.45 / $1,367.68 / $1,991.49	Facility		$1,081.45	$1,367.68	$1,991.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,061.41 / $1,431.20 / $2,788.94	Professional		$1,061.41	$1,431.20	$2,788.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,324.01 / $3,324.01 / $3,324.01	Professional		$3,324.01	$3,324.01	$3,324.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $995.74 / $1,369.15 / $1,842.32	Professional		$995.74	$1,369.15	$1,842.32
United Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $12,341.00 / $26,451.00	Facility		$5,830.00	$12,341.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $839.30 / $1,120.78 / $2,519.05	Professional		$839.30	$1,120.78	$2,519.05