Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $8,050.00 / $18,309.00	Facility		$1,992.00	$8,050.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,152.65 / $1,379.00 / $7,311.69	Professional		$1,152.65	$1,379.00	$7,311.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,447.00 / $18,544.00	Facility		$3,028.00	$9,447.00	$18,544.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,525.61 / $1,962.65 / $3,962.44	Professional		$1,525.61	$1,962.65	$3,962.44
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 $1,076.15 / $1,562.85 / $3,512.14	Professional		$1,076.15	$1,562.85	$3,512.14
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 $1,302.71 / $1,709.48 / $3,778.24	Professional		$1,302.71	$1,709.48	$3,778.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,116.90 / $1,582.47 / $2,112.75	Professional		$1,116.90	$1,582.47	$2,112.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,266.69 / $1,748.88 / $3,138.04	Professional		$1,266.69	$1,748.88	$3,138.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,215.52 / $12,498.64	Facility		$55.00	$12,215.52	$12,498.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,981.50 / $10,981.50 / $11,109.83	Professional		$10,981.50	$10,981.50	$11,109.83
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 $1,390.19 / $1,759.29 / $2,534.40	Facility		$1,390.19	$1,759.29	$2,534.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,306.45 / $1,783.69 / $3,659.43	Professional		$1,306.45	$1,783.69	$3,659.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,536.76 / $4,536.76 / $4,536.76	Professional		$4,536.76	$4,536.76	$4,536.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,278.66 / $1,675.35 / $2,112.75	Professional		$1,278.66	$1,675.35	$2,112.75
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 $1,100.11 / $1,444.79 / $3,087.63	Professional		$1,100.11	$1,444.79	$3,087.63