Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,185.35 / $9,639.00 / $20,509.00	Facility		$1,185.35	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,038.76 / $1,185.35 / $6,550.64	Professional		$1,038.76	$1,185.35	$6,550.64
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 $1,361.32 / $1,709.95 / $3,408.14	Professional		$1,361.32	$1,709.95	$3,408.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,506.48	Facility		$66.00	$100.00	$7,506.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $902.21 / $1,302.07 / $2,953.15	Professional		$902.21	$1,302.07	$2,953.15
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 $1,147.40 / $1,520.80 / $3,359.65	Professional		$1,147.40	$1,520.80	$3,359.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,116.90 / $1,434.53 / $1,936.62	Professional		$1,116.90	$1,434.53	$1,936.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,161.32 / $1,612.70 / $2,887.06	Professional		$1,161.32	$1,612.70	$2,887.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,232.00 / $13,960.05	Facility		$55.00	$9,232.00	$13,960.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,641.99 / $14,641.99 / $14,641.99	Professional		$14,641.99	$14,641.99	$14,641.99
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 $1,289.07 / $1,596.62 / $2,456.34	Facility		$1,289.07	$1,596.62	$2,456.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,170.11 / $1,579.66 / $3,291.21	Professional		$1,170.11	$1,579.66	$3,291.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,064.55 / $4,064.55 / $4,064.55	Professional		$4,064.55	$4,064.55	$4,064.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,157.93 / $1,592.15 / $2,112.75	Professional		$1,157.93	$1,592.15	$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 $971.46 / $1,271.16 / $2,808.73	Professional		$971.46	$1,271.16	$2,808.73