Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $8,011.00 / $20,135.00	Facility		$2,197.85	$8,011.00	$20,135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,164.50 / $1,352.06 / $5,122.64	Professional		$1,164.50	$1,352.06	$5,122.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,145.00 / $9,673.00 / $19,574.00	Facility		$3,145.00	$9,673.00	$19,574.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,560.25 / $1,912.24 / $3,830.48	Professional		$1,560.25	$1,912.24	$3,830.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,714.18	Facility		$64.40	$100.00	$5,714.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,035.79 / $1,490.71 / $3,386.15	Professional		$1,035.79	$1,490.71	$3,386.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,262.85 / $1,685.10 / $3,688.06	Professional		$1,262.85	$1,685.10	$3,688.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,039.46 / $1,566.52 / $1,966.26	Professional		$1,039.46	$1,566.52	$1,966.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,259.36 / $1,742.60 / $3,227.61	Professional		$1,259.36	$1,742.60	$3,227.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,156.36 / $9,348.54	Facility		$55.00	$9,156.36	$9,348.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,480.69 / $12,480.69 / $12,480.69	Professional		$12,480.69	$12,480.69	$12,480.69
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 $1,386.13 / $1,735.46 / $2,639.69	Facility		$1,386.13	$1,735.46	$2,639.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,278.20 / $1,741.98 / $3,602.11	Professional		$1,278.20	$1,741.98	$3,602.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,425.30 / $4,425.30 / $4,425.30	Professional		$4,425.30	$4,425.30	$4,425.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,265.66 / $1,559.19 / $1,966.27	Professional		$1,265.66	$1,559.19	$1,966.27
United Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $12,341.00 / $26,451.00	Facility		$5,830.00	$12,341.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,076.89 / $1,396.72 / $3,338.71	Professional		$1,076.89	$1,396.72	$3,338.71