Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,159.00 / $17,030.00	Facility		$1,919.00	$6,159.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $855.45 / $1,020.96 / $5,290.65	Professional		$855.45	$1,020.96	$5,290.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,977.00 / $13,012.00	Facility		$2,143.00	$5,977.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.71 / $1,604.46 / $2,924.25	Professional		$1,071.71	$1,604.46	$2,924.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,482.83	Facility		$66.00	$100.00	$7,482.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $758.37 / $1,087.73 / $2,479.21	Professional		$758.37	$1,087.73	$2,479.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $6,067.55 / $10,867.25	Facility		$1,992.00	$6,067.55	$10,867.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $970.19 / $1,254.13 / $2,717.68	Professional		$970.19	$1,254.13	$2,717.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $1,140.56 / $1,539.76	Professional		$505.96	$1,140.56	$1,539.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $921.11 / $1,284.01 / $2,321.81	Professional		$921.11	$1,284.01	$2,321.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,775.12 / $16,394.00 / $17,524.30	Facility		$3,775.12	$16,394.00	$17,524.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,240.32 / $7,389.44 / $8,696.54	Professional		$7,240.32	$7,389.44	$8,696.54
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 $1,020.00 / $1,250.51 / $1,728.48	Facility		$1,020.00	$1,250.51	$1,728.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $980.07 / $1,303.06 / $2,689.21	Professional		$980.07	$1,303.06	$2,689.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,282.76 / $3,282.76 / $3,282.76	Professional		$3,282.76	$3,282.76	$3,282.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $657.74 / $920.05 / $1,265.07	Professional		$657.74	$920.05	$1,265.07
United Facility/Professional Facility Modifier Low / Median / High Price $5,416.00 / $12,313.00 / $26,451.00	Facility		$5,416.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $808.61 / $1,052.65 / $2,223.91	Professional		$808.61	$1,052.65	$2,223.91