Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,695.00 / $17,701.00	Facility		$1,820.00	$6,695.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $817.01 / $1,036.93 / $4,661.83	Professional		$817.01	$1,036.93	$4,661.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $981.41 / $1,345.17 / $2,732.59	Professional		$981.41	$1,345.17	$2,732.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,826.58	Facility		$66.00	$100.00	$7,826.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $696.25 / $994.71 / $2,273.30	Professional		$696.25	$994.71	$2,273.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,360.35 / $2,364.53 / $5,980.00	Facility		$2,360.35	$2,364.53	$5,980.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,009.47 / $1,289.88 / $2,858.96	Professional		$1,009.47	$1,289.88	$2,858.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $774.76 / $1,171.14 / $1,685.12	Professional		$774.76	$1,171.14	$1,685.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $958.29 / $1,331.86 / $2,387.04	Professional		$958.29	$1,331.86	$2,387.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,867.52 / $6,817.20	Facility		$55.00	$3,867.52	$6,817.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,550.88 / $7,691.44 / $8,805.29	Professional		$7,550.88	$7,691.44	$8,805.29
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 $1,050.43 / $1,302.02 / $1,807.81	Facility		$1,050.43	$1,302.02	$1,807.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,009.47 / $1,351.07 / $2,751.69	Professional		$1,009.47	$1,351.07	$2,751.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,387.35 / $3,387.35 / $3,387.35	Professional		$3,387.35	$3,387.35	$3,387.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $945.21 / $1,063.35 / $1,317.09	Professional		$945.21	$1,063.35	$1,317.09
United Facility/Professional Facility Modifier Low / Median / High Price $3,698.00 / $7,106.00 / $14,743.00	Facility		$3,698.00	$7,106.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $813.91 / $1,066.99 / $2,292.69	Professional		$813.91	$1,066.99	$2,292.69