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 $1,034.94 / $1,230.38 / $6,732.16	Professional		$1,034.94	$1,230.38	$6,732.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $8,727.00 / $17,774.00	Facility		$2,776.00	$8,727.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,407.78 / $1,772.00 / $3,492.16	Professional		$1,407.78	$1,772.00	$3,492.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $7,100.20	Facility		$64.40	$100.00	$7,100.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $955.26 / $1,370.97 / $3,122.87	Professional		$955.26	$1,370.97	$3,122.87
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 $1,153.74 / $1,523.56 / $3,346.93	Professional		$1,153.74	$1,523.56	$3,346.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $555.10 / $840.02 / $1,832.01	Professional		$555.10	$840.02	$1,832.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.13 / $1,651.36 / $2,957.11	Professional		$1,174.13	$1,651.36	$2,957.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,659.12 / $11,892.32	Facility		$55.00	$11,659.12	$11,892.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,657.29 / $9,657.29 / $10,871.25	Professional		$9,657.29	$9,657.29	$10,871.25
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 $1,324.31 / $1,636.35 / $2,325.60	Facility		$1,324.31	$1,636.35	$2,325.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,178.56 / $1,616.41 / $3,346.93	Professional		$1,178.56	$1,616.41	$3,346.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,177.18 / $4,177.18 / $4,177.18	Professional		$4,177.18	$4,177.18	$4,177.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $721.63 / $1,182.93 / $1,626.53	Professional		$721.63	$1,182.93	$1,626.53
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 $989.16 / $1,299.63 / $2,863.90	Professional		$989.16	$1,299.63	$2,863.90