Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,070.60 / $9,639.00 / $20,509.00	Facility		$1,070.60	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.76 / $1,088.26 / $5,871.42	Professional		$933.76	$1,088.26	$5,871.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.00 / $11,400.00 / $34,433.58	Facility		$3,908.00	$11,400.00	$34,433.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,237.33 / $1,598.60 / $3,086.34	Professional		$1,237.33	$1,598.60	$3,086.34
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 $813.37 / $1,165.77 / $2,657.50	Professional		$813.37	$1,165.77	$2,657.50
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 $1,091.01 / $1,395.56 / $3,027.24	Professional		$1,091.01	$1,395.56	$3,027.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $759.12 / $1,148.77 / $1,615.79	Professional		$759.12	$1,148.77	$1,615.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,036.54 / $1,458.09 / $2,613.34	Professional		$1,036.54	$1,458.09	$2,613.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,889.40 / $13,149.70	Facility		$55.00	$12,889.40	$13,149.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,117.76 / $8,279.36 / $9,675.60	Professional		$8,117.76	$8,279.36	$9,675.60
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 $1,166.47 / $1,445.64 / $2,030.00	Facility		$1,166.47	$1,445.64	$2,030.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,104.75 / $1,462.46 / $2,961.87	Professional		$1,104.75	$1,462.46	$2,961.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,643.11 / $3,643.11 / $3,643.11	Professional		$3,643.11	$3,643.11	$3,643.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $986.86 / $1,173.47 / $1,435.97	Professional		$986.86	$1,173.47	$1,435.97
United Facility/Professional Facility Modifier Low / Median / High Price $7,694.00 / $13,007.00 / $28,973.00	Facility		$7,694.00	$13,007.00	$28,973.00
United Facility/Professional Professional Modifier Low / Median / High Price $876.69 / $1,164.97 / $2,474.90	Professional		$876.69	$1,164.97	$2,474.90