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 $931.25 / $1,088.36 / $5,854.24	Professional		$931.25	$1,088.36	$5,854.24
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 $1,263.80 / $1,562.42 / $3,071.93	Professional		$1,263.80	$1,562.42	$3,071.93
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 $803.27 / $1,157.78 / $2,626.01	Professional		$803.27	$1,157.78	$2,626.01
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 $1,055.50 / $1,396.66 / $3,025.03	Professional		$1,055.50	$1,396.66	$3,025.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $893.52 / $1,288.89 / $1,690.20	Professional		$893.52	$1,288.89	$1,690.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,046.77 / $1,453.85 / $2,605.71	Professional		$1,046.77	$1,453.85	$2,605.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,996.26 / $9,180.43	Facility		$55.00	$8,996.26	$9,180.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,557.67 / $8,557.67 / $9,647.33	Professional		$8,557.67	$8,557.67	$9,647.33
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 $1,163.08 / $1,440.48 / $2,216.12	Facility		$1,163.08	$1,440.48	$2,216.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,066.90 / $1,443.42 / $2,983.92	Professional		$1,066.90	$1,443.42	$2,983.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,632.45 / $3,632.45 / $3,632.45	Professional		$3,632.45	$3,632.45	$3,632.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,040.06 / $1,340.28 / $1,690.20	Professional		$1,040.06	$1,340.28	$1,690.20
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 $854.43 / $1,151.50 / $2,467.63	Professional		$854.43	$1,151.50	$2,467.63