Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $5,980.00 / $17,030.00	Facility		$1,919.00	$5,980.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $767.80 / $870.00 / $4,573.00	Professional		$767.80	$870.00	$4,573.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,977.00 / $13,707.00	Facility		$2,143.00	$5,977.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,012.07 / $1,277.35 / $2,537.83	Professional		$1,012.07	$1,277.35	$2,537.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,646.91	Facility		$66.00	$100.00	$7,646.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $717.11 / $1,027.64 / $2,297.17	Professional		$717.11	$1,027.64	$2,297.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $6,894.76 / $12,348.83	Facility		$1,992.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $888.61 / $1,120.93 / $2,425.48	Professional		$888.61	$1,120.93	$2,425.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $1,034.15 / $1,396.10	Professional		$505.96	$1,034.15	$1,396.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $827.81 / $1,164.84 / $2,087.17	Professional		$827.81	$1,164.84	$2,087.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,192.50 / $16,394.00 / $19,913.50	Facility		$4,192.50	$16,394.00	$19,913.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,471.20 / $6,601.92 / $7,714.35	Professional		$6,471.20	$6,601.92	$7,714.35
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 $933.39 / $1,160.50 / $1,564.72	Facility		$933.39	$1,160.50	$1,564.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $890.51 / $1,160.50 / $2,384.62	Professional		$890.51	$1,160.50	$2,384.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,899.11 / $2,899.11 / $2,899.11	Professional		$2,899.11	$2,899.11	$2,899.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $657.74 / $910.72 / $1,147.49	Professional		$657.74	$910.72	$1,147.49
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 $718.48 / $942.40 / $2,196.71	Professional		$718.48	$942.40	$2,196.71