Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,029.00 / $22,079.00	Facility		$2,616.00	$9,029.00	$22,079.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $916.78 / $1,076.39 / $5,759.32	Professional		$916.78	$1,076.39	$5,759.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.00 / $11,400.00 / $34,433.58	Facility		$3,908.00	$11,400.00	$34,433.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,236.55 / $1,565.68 / $3,126.63	Professional		$1,236.55	$1,565.68	$3,126.63
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 $831.88 / $1,192.18 / $2,713.69	Professional		$831.88	$1,192.18	$2,713.69
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 $1,098.77 / $1,382.89 / $2,974.11	Professional		$1,098.77	$1,382.89	$2,974.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $759.12 / $1,148.77 / $1,587.61	Professional		$759.12	$1,148.77	$1,587.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,018.01 / $1,432.13 / $2,566.56	Professional		$1,018.01	$1,432.13	$2,566.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,326.70 / $6,455.40	Facility		$55.00	$6,326.70	$6,455.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,969.20 / $8,128.96 / $9,496.73	Professional		$7,969.20	$8,128.96	$9,496.73
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 $1,148.53 / $1,436.10 / $1,909.81	Facility		$1,148.53	$1,436.10	$1,909.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,107.21 / $1,434.53 / $2,937.20	Professional		$1,107.21	$1,434.53	$2,937.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,573.53 / $3,573.53 / $3,573.53	Professional		$3,573.53	$3,573.53	$3,573.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $986.86 / $1,153.03 / $1,435.97	Professional		$986.86	$1,153.03	$1,435.97
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 $861.85 / $1,145.88 / $2,452.48	Professional		$861.85	$1,145.88	$2,452.48