Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $9,560.00 / $21,886.00	Facility		$2,387.00	$9,560.00	$21,886.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,214.10 / $1,459.05 / $7,629.91	Professional		$1,214.10	$1,459.05	$7,629.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,619.00 / $8,484.00 / $18,150.00	Facility		$2,619.00	$8,484.00	$18,150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,391.70 / $1,802.43 / $3,731.12	Professional		$1,391.70	$1,802.43	$3,731.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $5,915.89	Facility		$66.70	$100.00	$5,915.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,040.93 / $1,540.54 / $3,622.55	Professional		$1,040.93	$1,540.54	$3,622.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $766.00 / $5,431.00	Facility		$633.00	$766.00	$5,431.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,303.30 / $1,781.73 / $4,018.72	Professional		$1,303.30	$1,781.73	$4,018.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $920.70 / $1,584.96 / $2,060.44	Professional		$920.70	$1,584.96	$2,060.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,350.34 / $1,758.91 / $3,244.32	Professional		$1,350.34	$1,758.91	$3,244.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,345.28 / $13,645.60	Facility		$55.00	$13,345.28	$13,645.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,447.84 / $10,680.88 / $12,790.73	Professional		$10,447.84	$10,680.88	$12,790.73
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 $1,400.64 / $1,800.46 / $2,552.90	Facility		$1,400.64	$1,800.46	$2,552.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,320.56 / $1,900.60 / $3,945.27	Professional		$1,320.56	$1,900.60	$3,945.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,734.20 / $4,734.20 / $4,734.20	Professional		$4,734.20	$4,734.20	$4,734.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $920.70 / $1,436.80 / $1,756.08	Professional		$920.70	$1,436.80	$1,756.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.00 / $4,820.00 / $20,279.00	Facility		$1,055.00	$4,820.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,166.67 / $1,598.77 / $3,558.05	Professional		$1,166.67	$1,598.77	$3,558.05