Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $8,090.00 / $18,309.00	Facility		$1,992.00	$8,090.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,345.48 / $1,584.56 / $8,500.20	Professional		$1,345.48	$1,584.56	$8,500.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $10,474.00 / $21,865.69	Facility		$4,314.00	$10,474.00	$21,865.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,860.02 / $2,347.60 / $4,587.55	Professional		$1,860.02	$2,347.60	$4,587.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $10,033.91	Facility		$64.40	$100.00	$10,033.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,301.35 / $1,876.82 / $4,153.24	Professional		$1,301.35	$1,876.82	$4,153.24
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 $1,524.10 / $1,989.98 / $4,375.49	Professional		$1,524.10	$1,989.98	$4,375.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,238.64 / $1,840.89 / $2,343.05	Professional		$1,238.64	$1,840.89	$2,343.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,485.69 / $2,059.77 / $3,682.45	Professional		$1,485.69	$2,059.77	$3,682.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $14,469.20 / $14,764.48	Facility		$55.00	$14,469.20	$14,764.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,979.34 / $12,979.34 / $13,125.98	Professional		$12,979.34	$12,979.34	$13,125.98
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 $1,651.41 / $2,115.46 / $2,974.48	Facility		$1,651.41	$2,115.46	$2,974.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,550.12 / $2,085.88 / $4,193.68	Professional		$1,550.12	$2,085.88	$4,193.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,274.23 / $5,274.23 / $5,274.23	Professional		$5,274.23	$5,274.23	$5,274.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,487.24 / $1,857.96 / $2,343.04	Professional		$1,487.24	$1,857.96	$2,343.04
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 $1,240.11 / $1,662.42 / $3,820.35	Professional		$1,240.11	$1,662.42	$3,820.35