Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,608.00 / $7,146.30 / $18,252.00	Facility		$2,608.00	$7,146.30	$18,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $877.45 / $1,026.95 / $5,496.28	Professional		$877.45	$1,026.95	$5,496.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,204.00 / $14,273.00 / $31,817.00	Facility		$4,204.00	$14,273.00	$31,817.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,185.86 / $1,507.78 / $2,986.86	Professional		$1,185.86	$1,507.78	$2,986.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $20,013.65	Facility		$66.00	$100.00	$20,013.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $839.36 / $1,205.89 / $2,711.17	Professional		$839.36	$1,205.89	$2,711.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $6,906.96 / $12,348.83	Facility		$2,277.00	$6,906.96	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,039.09 / $1,317.79 / $2,864.44	Professional		$1,039.09	$1,317.79	$2,864.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $493.30 / $1,224.55 / $1,653.14	Professional		$493.30	$1,224.55	$1,653.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $978.14 / $1,376.86 / $2,499.69	Professional		$978.14	$1,376.86	$2,499.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,250.00 / $19,913.50 / $33,500.00	Facility		$2,250.00	$19,913.50	$33,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,738.00 / $7,778.24 / $9,094.28	Professional		$7,738.00	$7,778.24	$9,094.28
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 $1,086.82 / $1,361.34 / $1,963.17	Facility		$1,086.82	$1,361.34	$1,963.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,054.08 / $1,370.15 / $2,806.02	Professional		$1,054.08	$1,370.15	$2,806.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,410.34 / $3,410.34 / $3,410.34	Professional		$3,410.34	$3,410.34	$3,410.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $641.29 / $988.26 / $1,358.85	Professional		$641.29	$988.26	$1,358.85
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,651.00 / $29,312.00	Facility		$7,696.00	$13,651.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $820.95 / $1,091.89 / $2,308.94	Professional		$820.95	$1,091.89	$2,308.94