Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,870.00 / $19,368.00	Facility		$2,421.00	$8,870.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $814.98 / $1,009.20 / $5,423.37	Professional		$814.98	$1,009.20	$5,423.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,222.00 / $9,031.00 / $22,085.00	Facility		$3,222.00	$9,031.00	$22,085.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.21 / $1,405.48 / $2,810.20	Professional		$1,122.21	$1,405.48	$2,810.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $7,100.20	Facility		$64.40	$100.00	$7,100.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $810.83 / $1,162.11 / $2,645.36	Professional		$810.83	$1,162.11	$2,645.36
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 $967.05 / $1,270.53 / $2,736.60	Professional		$967.05	$1,270.53	$2,736.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $868.20 / $1,199.29 / $1,619.04	Professional		$868.20	$1,199.29	$1,619.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $973.04 / $1,351.45 / $2,421.73	Professional		$973.04	$1,351.45	$2,421.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,965.30 / $6,088.30	Facility		$55.00	$5,965.30	$6,088.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,447.06 / $8,447.06 / $8,955.08	Professional		$8,447.06	$8,447.06	$8,955.08
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 $1,084.84 / $1,350.71 / $1,935.60	Facility		$1,084.84	$1,350.71	$1,935.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $973.35 / $1,346.84 / $2,720.70	Professional		$973.35	$1,346.84	$2,720.70
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,365.10 / $3,365.10 / $3,365.10	Professional		$3,365.10	$3,365.10	$3,365.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $967.80 / $1,302.31 / $1,642.31	Professional		$967.80	$1,302.31	$1,642.31
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $29,312.00	Facility		$7,212.00	$13,651.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $809.20 / $1,049.30 / $2,294.81	Professional		$809.20	$1,049.30	$2,294.81