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 $939.56 / $1,115.31 / $5,801.95	Professional		$939.56	$1,115.31	$5,801.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,640.00 / $8,286.00 / $17,058.00	Facility		$3,640.00	$8,286.00	$17,058.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,257.78 / $1,624.24 / $3,148.84	Professional		$1,257.78	$1,624.24	$3,148.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $7,366.65	Facility		$64.40	$100.00	$7,366.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $874.64 / $1,253.32 / $2,844.80	Professional		$874.64	$1,253.32	$2,844.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,183.00 / $5,183.00 / $5,183.00	Facility		$5,183.00	$5,183.00	$5,183.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,110.64 / $1,395.26 / $2,994.19	Professional		$1,110.64	$1,395.26	$2,994.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $716.68 / $1,084.55 / $1,593.90	Professional		$716.68	$1,084.55	$1,593.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.44 / $1,439.40 / $2,657.89	Professional		$1,023.44	$1,439.40	$2,657.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,916.04 / $9,103.43	Facility		$55.00	$8,916.04	$9,103.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,741.03 / $8,741.03 / $9,562.50	Professional		$8,741.03	$8,741.03	$9,562.50
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 $1,155.56 / $1,450.22 / $1,897.50	Facility		$1,155.56	$1,450.22	$1,897.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,110.64 / $1,463.32 / $2,965.05	Professional		$1,110.64	$1,463.32	$2,965.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,599.99 / $3,599.99 / $3,599.99	Professional		$3,599.99	$3,599.99	$3,599.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $931.68 / $1,157.54 / $1,414.78	Professional		$931.68	$1,157.54	$1,414.78
United Facility/Professional Facility Modifier Low / Median / High Price $4,509.00 / $9,713.00 / $21,278.00	Facility		$4,509.00	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $866.71 / $1,150.98 / $2,389.58	Professional		$866.71	$1,150.98	$2,389.58