Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $8,183.00 / $19,484.00	Facility		$2,197.85	$8,183.00	$19,484.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,171.19 / $1,295.95 / $5,025.30	Professional		$1,171.19	$1,295.95	$5,025.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,537.00 / $9,673.00 / $19,574.00	Facility		$3,537.00	$9,673.00	$19,574.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,567.78 / $1,958.82 / $3,851.64	Professional		$1,567.78	$1,958.82	$3,851.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $7,296.75	Facility		$64.40	$100.00	$7,296.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,031.04 / $1,484.16 / $3,352.03	Professional		$1,031.04	$1,484.16	$3,352.03
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 $1,303.68 / $1,739.68 / $3,835.64	Professional		$1,303.68	$1,739.68	$3,835.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,077.81 / $1,604.59 / $2,038.80	Professional		$1,077.81	$1,604.59	$2,038.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,291.05 / $1,787.14 / $3,308.04	Professional		$1,291.05	$1,787.14	$3,308.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,527.60 / $12,790.00	Facility		$55.00	$12,527.60	$12,790.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,111.43 / $13,111.43 / $13,111.43	Professional		$13,111.43	$13,111.43	$13,111.43
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 $1,424.13 / $1,775.70 / $2,625.06	Facility		$1,424.13	$1,775.70	$2,625.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,332.90 / $1,792.16 / $3,678.80	Professional		$1,332.90	$1,792.16	$3,678.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,545.92 / $4,545.92 / $4,545.92	Professional		$4,545.92	$4,545.92	$4,545.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,296.39 / $1,616.71 / $2,038.80	Professional		$1,296.39	$1,616.71	$2,038.80
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 $1,067.31 / $1,423.08 / $3,084.88	Professional		$1,067.31	$1,423.08	$3,084.88