Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $9,639.00 / $21,861.00	Facility		$2,387.00	$9,639.00	$21,861.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $866.94 / $1,045.63 / $3,898.08	Professional		$866.94	$1,045.63	$3,898.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.00 / $8,484.00 / $16,838.00	Facility		$3,388.00	$8,484.00	$16,838.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,154.81 / $1,435.10 / $2,910.12	Professional		$1,154.81	$1,435.10	$2,910.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,276.89	Facility		$66.00	$100.00	$15,276.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $748.73 / $1,094.06 / $2,549.37	Professional		$748.73	$1,094.06	$2,549.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $947.58 / $1,207.88 / $2,814.83	Professional		$947.58	$1,207.88	$2,814.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $674.61 / $1,185.44 / $1,422.53	Professional		$674.61	$1,185.44	$1,422.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $947.84 / $1,305.60 / $2,766.93	Professional		$947.84	$1,305.60	$2,766.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,683.60 / $8,374.87 / $26,542.00	Facility		$6,683.60	$8,374.87	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,414.16 / $7,552.64 / $8,755.20	Professional		$7,414.16	$7,552.64	$8,755.20
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 $969.40 / $1,284.93 / $1,680.00	Facility		$969.40	$1,284.93	$1,680.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $970.11 / $1,237.18 / $2,673.79	Professional		$970.11	$1,237.18	$2,673.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,368.31 / $3,368.31 / $3,368.31	Professional		$3,368.31	$3,368.31	$3,368.31
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 $807.41 / $1,076.55 / $2,295.42	Professional		$807.41	$1,076.55	$2,295.42