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 $1,206.51 / $1,457.83 / $7,870.54	Professional		$1,206.51	$1,457.83	$7,870.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.00 / $10,710.50 / $22,790.97	Facility		$3,908.00	$10,710.50	$22,790.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,249.08 / $1,795.02 / $3,604.99	Professional		$1,249.08	$1,795.02	$3,604.99
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 $684.75 / $987.14 / $2,384.58	Professional		$684.75	$987.14	$2,384.58
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 $989.73 / $1,738.87 / $3,995.23	Professional		$989.73	$1,738.87	$3,995.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $833.21 / $1,260.89 / $2,131.73	Professional		$833.21	$1,260.89	$2,131.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,374.61 / $1,931.80 / $3,465.37	Professional		$1,374.61	$1,931.80	$3,465.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,305.24 / $10,513.20	Facility		$55.00	$10,305.24	$10,513.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,821.60 / $11,038.40 / $12,901.28	Professional		$10,821.60	$11,038.40	$12,901.28
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 $1,103.96 / $1,830.12 / $2,472.80	Facility		$1,103.96	$1,830.12	$2,472.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $998.73 / $1,817.91 / $3,965.25	Professional		$998.73	$1,817.91	$3,965.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,883.51 / $4,883.51 / $4,883.51	Professional		$4,883.51	$4,883.51	$4,883.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,083.17 / $1,499.77 / $1,891.91	Professional		$1,083.17	$1,499.77	$1,891.91
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $29,312.00	Facility		$7,212.00	$13,651.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $960.06 / $1,440.45 / $3,325.09	Professional		$960.06	$1,440.45	$3,325.09