Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $8,870.00 / $20,135.00	Facility		$2,616.00	$8,870.00	$20,135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,035.55 / $1,248.41 / $6,526.14	Professional		$1,035.55	$1,248.41	$6,526.14
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 $1,341.96 / $1,707.03 / $3,500.00	Professional		$1,341.96	$1,707.03	$3,500.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $7,593.91	Facility		$64.40	$100.00	$7,593.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $803.90 / $1,151.67 / $2,621.83	Professional		$803.90	$1,151.67	$2,621.83
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 $1,170.75 / $1,520.86 / $3,289.27	Professional		$1,170.75	$1,520.86	$3,289.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $843.26 / $1,276.09 / $1,775.91	Professional		$843.26	$1,276.09	$1,775.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,143.47 / $1,594.97 / $2,882.79	Professional		$1,143.47	$1,594.97	$2,882.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,560.79 / $8,734.56	Facility		$55.00	$8,560.79	$8,734.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,988.16 / $9,168.87 / $10,716.75	Professional		$8,988.16	$9,168.87	$10,716.75
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 $1,251.44 / $1,574.77 / $2,152.50	Facility		$1,251.44	$1,574.77	$2,152.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,193.06 / $1,586.24 / $3,267.68	Professional		$1,193.06	$1,586.24	$3,267.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,049.36 / $4,049.36 / $4,049.36	Professional		$4,049.36	$4,049.36	$4,049.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,096.24 / $1,289.60 / $1,595.13	Professional		$1,096.24	$1,289.60	$1,595.13
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 $976.59 / $1,302.11 / $2,687.86	Professional		$976.59	$1,302.11	$2,687.86