Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,640.00 / $17,701.00	Facility		$1,820.00	$6,640.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $837.66 / $1,005.62 / $5,388.26	Professional		$837.66	$1,005.62	$5,388.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,362.00 / $16,106.00	Facility		$2,456.00	$7,362.00	$16,106.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,118.30 / $1,461.10 / $2,818.11	Professional		$1,118.30	$1,461.10	$2,818.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,493.03	Facility		$66.00	$100.00	$8,493.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $793.49 / $1,138.82 / $2,590.14	Professional		$793.49	$1,138.82	$2,590.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $6,894.76 / $12,348.83	Facility		$2,277.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $994.34 / $1,283.42 / $2,723.36	Professional		$994.34	$1,283.42	$2,723.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $733.80 / $1,249.64 / $1,687.01	Professional		$733.80	$1,249.64	$1,687.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $991.34 / $1,392.22 / $2,499.77	Professional		$991.34	$1,392.22	$2,499.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,958.48 / $19,913.50 / $26,542.00	Facility		$5,958.48	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,678.80 / $7,865.52 / $9,147.29	Professional		$7,678.80	$7,865.52	$9,147.29
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 $1,117.26 / $1,378.48 / $1,874.83	Facility		$1,117.26	$1,378.48	$1,874.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $995.89 / $1,383.18 / $2,782.94	Professional		$995.89	$1,383.18	$2,782.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,343.31 / $3,343.31 / $3,343.31	Professional		$3,343.31	$3,343.31	$3,343.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $953.94 / $1,134.80 / $1,388.08	Professional		$953.94	$1,134.80	$1,388.08
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,267.00 / $26,109.00	Facility		$5,799.00	$12,267.00	$26,109.00
United Facility/Professional Professional Modifier Low / Median / High Price $798.93 / $1,044.10 / $2,283.71	Professional		$798.93	$1,044.10	$2,283.71