Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $9,665.00 / $21,960.90	Facility		$2,387.00	$9,665.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.37 / $1,047.20 / $3,919.60	Professional		$863.37	$1,047.20	$3,919.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,696.00 / $7,311.00 / $15,328.00	Facility		$2,696.00	$7,311.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,078.16 / $1,345.15 / $2,716.96	Professional		$1,078.16	$1,345.15	$2,716.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,436.09	Facility		$66.00	$100.00	$15,436.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $682.84 / $992.45 / $2,324.28	Professional		$682.84	$992.45	$2,324.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.91 / $1,171.20 / $2,766.81	Professional		$891.91	$1,171.20	$2,766.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $674.61 / $1,170.44 / $1,404.53	Professional		$674.61	$1,170.44	$1,404.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $934.02 / $1,285.49 / $2,809.00	Professional		$934.02	$1,285.49	$2,809.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,572.79 / $16,547.20 / $26,542.00	Facility		$6,572.79	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,614.87 / $9,966.91 / $9,966.91	Professional		$8,614.87	$9,966.91	$9,966.91
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 $950.54 / $1,262.04 / $1,660.48	Facility		$950.54	$1,262.04	$1,660.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $913.47 / $1,214.83 / $2,675.73	Professional		$913.47	$1,214.83	$2,675.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,304.49 / $3,304.49 / $3,304.49	Professional		$3,304.49	$3,304.49	$3,304.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $850.73 / $1,105.95 / $1,446.25	Professional		$850.73	$1,105.95	$1,446.25
United Facility/Professional Facility Modifier Low / Median / High Price $6,824.00 / $12,434.00 / $26,451.00	Facility		$6,824.00	$12,434.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $759.98 / $1,023.05 / $2,293.41	Professional		$759.98	$1,023.05	$2,293.41