Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $8,934.00 / $19,368.00	Facility		$2,616.00	$8,934.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $886.20 / $1,041.16 / $5,459.77	Professional		$886.20	$1,041.16	$5,459.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,231.00 / $22,314.29	Facility		$2,456.00	$7,231.00	$22,314.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,225.57 / $1,606.32 / $2,959.19	Professional		$1,225.57	$1,606.32	$2,959.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $8,263.42	Facility		$64.40	$100.00	$8,263.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $933.81 / $1,335.41 / $2,924.01	Professional		$933.81	$1,335.41	$2,924.01
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 $1,057.99 / $1,409.90 / $2,824.85	Professional		$1,057.99	$1,409.90	$2,824.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $632.54 / $957.22 / $1,474.94	Professional		$632.54	$957.22	$1,474.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $952.10 / $1,337.78 / $2,400.19	Professional		$952.10	$1,337.78	$2,400.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,954.00 / $6,083.60	Facility		$55.00	$5,954.00	$6,083.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,230.76 / $8,230.76 / $8,945.54	Professional		$8,230.76	$8,230.76	$8,945.54
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 $1,091.61 / $1,415.94 / $2,000.00	Facility		$1,091.61	$1,415.94	$2,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,074.10 / $1,459.20 / $2,788.05	Professional		$1,074.10	$1,459.20	$2,788.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,387.70 / $3,387.70 / $3,387.70	Professional		$3,387.70	$3,387.70	$3,387.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $822.30 / $1,070.97 / $1,308.97	Professional		$822.30	$1,070.97	$1,308.97
United Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $12,341.00 / $26,451.00	Facility		$5,830.00	$12,341.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $848.12 / $1,138.91 / $2,554.94	Professional		$848.12	$1,138.91	$2,554.94