Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $8,859.00 / $19,368.00	Facility		$2,616.00	$8,859.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,014.26 / $1,183.71 / $6,369.92	Professional		$1,014.26	$1,183.71	$6,369.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $11,098.00 / $23,642.59	Facility		$4,314.00	$11,098.00	$23,642.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,385.19 / $1,748.29 / $3,456.39	Professional		$1,385.19	$1,748.29	$3,456.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $7,121.41	Facility		$64.40	$100.00	$7,121.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $959.29 / $1,374.59 / $3,109.77	Professional		$959.29	$1,374.59	$3,109.77
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 $1,214.46 / $1,525.46 / $3,287.98	Professional		$1,214.46	$1,525.46	$3,287.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $843.26 / $1,276.09 / $1,744.85	Professional		$843.26	$1,276.09	$1,744.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,121.33 / $1,576.84 / $2,827.04	Professional		$1,121.33	$1,576.84	$2,827.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,776.90 / $9,978.36	Facility		$55.00	$9,776.90	$9,978.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,797.60 / $8,976.48 / $10,487.18	Professional		$8,797.60	$8,976.48	$10,487.18
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 $1,267.11 / $1,576.21 / $2,056.03	Facility		$1,267.11	$1,576.21	$2,056.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,218.85 / $1,586.62 / $3,252.57	Professional		$1,218.85	$1,586.62	$3,252.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,952.41 / $3,952.41 / $3,952.41	Professional		$3,952.41	$3,952.41	$3,952.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,096.24 / $1,267.13 / $1,595.13	Professional		$1,096.24	$1,267.13	$1,595.13
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 $952.02 / $1,269.35 / $2,693.27	Professional		$952.02	$1,269.35	$2,693.27