Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,648.00 / $18,309.00	Facility		$1,992.00	$7,648.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $846.43 / $1,008.13 / $5,208.22	Professional		$846.43	$1,008.13	$5,208.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $9,110.00 / $17,774.00	Facility		$2,776.00	$9,110.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,181.60 / $1,491.34 / $2,828.15	Professional		$1,181.60	$1,491.34	$2,828.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,052.99	Facility		$66.00	$100.00	$11,052.99
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $904.80 / $1,292.57 / $2,830.21	Professional		$904.80	$1,292.57	$2,830.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $18,587.95 / $33,291.86	Facility		$2,813.00	$18,587.95	$33,291.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,026.07 / $1,381.50 / $2,743.17	Professional		$1,026.07	$1,381.50	$2,743.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $581.90 / $1,150.46 / $1,553.12	Professional		$581.90	$1,150.46	$1,553.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $921.68 / $1,274.14 / $2,323.84	Professional		$921.68	$1,274.14	$2,323.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,737.96 / $26,542.00 / $53,685.80	Facility		$3,737.96	$26,542.00	$53,685.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,522.99 / $7,771.25 / $8,596.50	Professional		$7,522.99	$7,771.25	$8,596.50
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 $1,037.58 / $1,324.60 / $1,856.77	Facility		$1,037.58	$1,324.60	$1,856.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,032.22 / $1,435.47 / $2,662.88	Professional		$1,032.22	$1,435.47	$2,662.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,231.61 / $3,231.61 / $3,231.61	Professional		$3,231.61	$3,231.61	$3,231.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $756.48 / $1,028.39 / $1,276.53	Professional		$756.48	$1,028.39	$1,276.53
United Facility/Professional Facility Modifier Low / Median / High Price $6,142.00 / $12,434.00 / $26,451.00	Facility		$6,142.00	$12,434.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $800.05 / $1,078.83 / $2,181.92	Professional		$800.05	$1,078.83	$2,181.92