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 $962.64 / $1,146.68 / $5,664.95	Professional		$962.64	$1,146.68	$5,664.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $10,474.00 / $21,865.69	Facility		$4,314.00	$10,474.00	$21,865.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,295.31 / $1,615.40 / $3,055.43	Professional		$1,295.31	$1,615.40	$3,055.43
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 $916.03 / $1,314.24 / $2,874.39	Professional		$916.03	$1,314.24	$2,874.39
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 $1,125.53 / $1,420.36 / $3,089.52	Professional		$1,125.53	$1,420.36	$3,089.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $465.75 / $704.81 / $1,558.89	Professional		$465.75	$704.81	$1,558.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,004.11 / $1,409.89 / $2,522.69	Professional		$1,004.11	$1,409.89	$2,522.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,996.79 / $10,271.36	Facility		$55.00	$9,996.79	$10,271.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,299.59 / $10,299.59 / $10,299.59	Professional		$10,299.59	$10,299.59	$10,299.59
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 $1,146.68 / $1,451.50 / $2,155.90	Facility		$1,146.68	$1,451.50	$2,155.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,115.79 / $1,484.87 / $2,922.13	Professional		$1,115.79	$1,484.87	$2,922.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,514.99 / $3,514.99 / $3,514.99	Professional		$3,514.99	$3,514.99	$3,514.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $605.47 / $998.49 / $1,384.44	Professional		$605.47	$998.49	$1,384.44
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 $869.96 / $1,181.54 / $2,396.69	Professional		$869.96	$1,181.54	$2,396.69