Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,870.00 / $19,368.00	Facility		$2,421.00	$8,870.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,325.38 / $1,509.07 / $7,247.39	Professional		$1,325.38	$1,509.07	$7,247.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.00 / $10,050.00 / $21,514.00	Facility		$3,908.00	$10,050.00	$21,514.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,493.69 / $2,139.67 / $3,963.65	Professional		$1,493.69	$2,139.67	$3,963.65
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 $1,175.77 / $1,707.92 / $3,742.64	Professional		$1,175.77	$1,707.92	$3,742.64
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 $1,391.71 / $1,824.82 / $3,769.44	Professional		$1,391.71	$1,824.82	$3,769.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $713.33 / $1,079.47 / $1,994.56	Professional		$713.33	$1,079.47	$1,994.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,280.51 / $1,799.18 / $3,217.85	Professional		$1,280.51	$1,799.18	$3,217.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,711.44 / $13,050.08	Facility		$55.00	$12,711.44	$13,050.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,584.70 / $11,701.95 / $11,967.00	Professional		$11,584.70	$11,701.95	$11,967.00
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 $1,483.91 / $1,854.48 / $2,563.19	Facility		$1,483.91	$1,854.48	$2,563.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,398.06 / $1,919.02 / $3,723.76	Professional		$1,398.06	$1,919.02	$3,723.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,496.85 / $4,496.85 / $4,496.85	Professional		$4,496.85	$4,496.85	$4,496.85
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $927.32 / $1,288.33 / $1,771.47	Professional		$927.32	$1,288.33	$1,771.47
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 $1,102.39 / $1,549.13 / $3,050.16	Professional		$1,102.39	$1,549.13	$3,050.16