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 $1,057.15 / $1,257.59 / $6,295.82	Professional		$1,057.15	$1,257.59	$6,295.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $11,098.00 / $23,642.59	Facility		$4,314.00	$11,098.00	$23,642.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,448.96 / $1,797.00 / $3,409.14	Professional		$1,448.96	$1,797.00	$3,409.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $7,100.20	Facility		$64.40	$100.00	$7,100.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $961.28 / $1,379.92 / $3,059.88	Professional		$961.28	$1,379.92	$3,059.88
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 $1,211.72 / $1,547.63 / $3,365.37	Professional		$1,211.72	$1,547.63	$3,365.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,211.46 / $1,510.27 / $2,038.86	Professional		$1,211.46	$1,510.27	$2,038.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,225.18 / $1,701.64 / $3,047.02	Professional		$1,225.18	$1,701.64	$3,047.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $21,023.52 / $21,436.10	Facility		$55.00	$21,023.52	$21,436.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,908.28 / $9,908.28 / $11,198.70	Professional		$9,908.28	$9,908.28	$11,198.70
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 $1,361.31 / $1,686.18 / $2,416.42	Facility		$1,361.31	$1,686.18	$2,416.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,215.42 / $1,637.92 / $3,341.69	Professional		$1,215.42	$1,637.92	$3,341.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,906.43 / $3,906.43 / $3,906.43	Professional		$3,906.43	$3,906.43	$3,906.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,218.98 / $1,676.10 / $2,291.63	Professional		$1,218.98	$1,676.10	$2,291.63
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $29,312.00	Facility		$7,212.00	$13,651.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $980.00 / $1,300.95 / $2,918.65	Professional		$980.00	$1,300.95	$2,918.65