Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,386.00 / $19,860.00	Facility		$2,616.00	$9,386.00	$19,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,408.75 / $1,711.62 / $9,234.66	Professional		$1,408.75	$1,711.62	$9,234.66
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 $1,315.57 / $2,013.13 / $4,206.18	Professional		$1,315.57	$2,013.13	$4,206.18
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 $928.52 / $1,326.84 / $3,086.39	Professional		$928.52	$1,326.84	$3,086.39
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 $1,031.07 / $2,024.13 / $4,659.77	Professional		$1,031.07	$2,024.13	$4,659.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $827.25 / $1,251.88 / $2,483.34	Professional		$827.25	$1,251.88	$2,483.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,605.83 / $2,255.42 / $4,047.93	Professional		$1,605.83	$2,255.42	$4,047.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,067.86 / $12,315.30	Facility		$55.00	$12,067.86	$12,315.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,673.12 / $12,931.52 / $15,118.88	Professional		$12,673.12	$12,931.52	$15,118.88
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 $1,206.08 / $2,140.86 / $2,854.80	Facility		$1,206.08	$2,140.86	$2,854.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,031.07 / $2,131.44 / $4,649.54	Professional		$1,031.07	$2,131.44	$4,649.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,729.95 / $5,729.95 / $5,729.95	Professional		$5,729.95	$5,729.95	$5,729.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,075.43 / $1,602.73 / $2,203.75	Professional		$1,075.43	$1,602.73	$2,203.75
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 $998.62 / $1,692.46 / $4,318.87	Professional		$998.62	$1,692.46	$4,318.87