Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,383.17 / $9,639.00 / $20,509.00	Facility		$1,383.17	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.47 / $1,383.17 / $7,344.25	Professional		$1,122.47	$1,383.17	$7,344.25
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 $1,468.52 / $1,804.38 / $3,700.67	Professional		$1,468.52	$1,804.38	$3,700.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,290.89	Facility		$66.00	$100.00	$15,290.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $924.29 / $1,344.09 / $3,042.19	Professional		$924.29	$1,344.09	$3,042.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $5,729.24 / $10,261.32	Facility		$2,277.00	$5,729.24	$10,261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,155.17 / $1,642.29 / $3,574.68	Professional		$1,155.17	$1,642.29	$3,574.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $790.39 / $1,599.15 / $2,158.85	Professional		$790.39	$1,599.15	$2,158.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,268.23 / $1,779.88 / $3,194.86	Professional		$1,268.23	$1,779.88	$3,194.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,123.52 / $16,547.20	Facility		$55.00	$10,123.52	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,907.82 / $14,907.82 / $14,907.82	Professional		$14,907.82	$14,907.82	$14,907.82
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 $1,337.76 / $1,742.65 / $2,713.24	Facility		$1,337.76	$1,742.65	$2,713.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,173.51 / $1,725.81 / $3,574.68	Professional		$1,173.51	$1,725.81	$3,574.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,556.97 / $4,556.97 / $4,556.97	Professional		$4,556.97	$4,556.97	$4,556.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,027.51 / $1,415.57 / $1,775.24	Professional		$1,027.51	$1,415.57	$1,775.24
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,341.00 / $26,451.00	Facility		$5,799.00	$12,341.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,075.72 / $1,378.74 / $3,450.02	Professional		$1,075.72	$1,378.74	$3,450.02