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 $928.59 / $1,084.38 / $5,821.92	Professional		$928.59	$1,084.38	$5,821.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,446.00 / $11,139.12 / $24,548.00	Facility		$4,446.00	$11,139.12	$24,548.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,261.20 / $1,579.56 / $3,160.47	Professional		$1,261.20	$1,579.56	$3,160.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,509.60	Facility		$64.40	$100.00	$5,509.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $865.23 / $1,239.70 / $2,823.15	Professional		$865.23	$1,239.70	$2,823.15
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 $1,068.54 / $1,389.21 / $3,002.12	Professional		$1,068.54	$1,389.21	$3,002.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $837.30 / $1,267.08 / $1,604.69	Professional		$837.30	$1,267.08	$1,604.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,042.52 / $1,447.95 / $2,595.16	Professional		$1,042.52	$1,447.95	$2,595.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,959.02 / $9,142.70	Facility		$55.00	$8,959.02	$9,142.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,201.03 / $8,223.44 / $9,608.78	Professional		$8,201.03	$8,223.44	$9,608.78
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 $1,161.95 / $1,452.44 / $2,170.00	Facility		$1,161.95	$1,452.44	$2,170.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,103.52 / $1,443.05 / $2,974.93	Professional		$1,103.52	$1,443.05	$2,974.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,612.38 / $3,612.38 / $3,612.38	Professional		$3,612.38	$3,612.38	$3,612.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,035.91 / $1,255.95 / $1,583.86	Professional		$1,035.91	$1,255.95	$1,583.86
United Facility/Professional Facility Modifier Low / Median / High Price $6,366.00 / $13,555.00 / $29,312.00	Facility		$6,366.00	$13,555.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $871.29 / $1,158.83 / $2,462.67	Professional		$871.29	$1,158.83	$2,462.67