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 $863.80 / $1,041.55 / $5,421.98	Professional		$863.80	$1,041.55	$5,421.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,644.00 / $18,544.00	Facility		$3,028.00	$9,644.00	$18,544.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,104.59 / $1,470.90 / $2,941.73	Professional		$1,104.59	$1,470.90	$2,941.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,793.11	Facility		$66.00	$100.00	$11,793.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $829.19 / $1,190.58 / $2,661.73	Professional		$829.19	$1,190.58	$2,661.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $6,894.76 / $12,348.83	Facility		$3,203.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $999.67 / $1,297.59 / $2,803.11	Professional		$999.67	$1,297.59	$2,803.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $993.67 / $1,197.95 / $1,879.65	Professional		$993.67	$1,197.95	$1,879.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $972.59 / $1,348.83 / $2,415.44	Professional		$972.59	$1,348.83	$2,415.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,872.44 / $19,913.50 / $26,542.00	Facility		$3,872.44	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,502.96 / $7,652.32 / $8,885.25	Professional		$7,502.96	$7,652.32	$8,885.25
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 $1,008.00 / $1,317.52 / $1,809.59	Facility		$1,008.00	$1,317.52	$1,809.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,029.03 / $1,342.42 / $2,754.80	Professional		$1,029.03	$1,342.42	$2,754.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,364.24 / $3,364.24 / $3,364.24	Professional		$3,364.24	$3,364.24	$3,364.24
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $993.67 / $1,329.45 / $1,879.64	Professional		$993.67	$1,329.45	$1,879.64
United Facility/Professional Facility Modifier Low / Median / High Price $6,087.45 / $12,313.00 / $26,451.00	Facility		$6,087.45	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $809.67 / $1,082.27 / $2,272.80	Professional		$809.67	$1,082.27	$2,272.80