Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $9,384.00 / $19,368.00	Facility		$2,421.00	$9,384.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,279.58 / $1,616.12 / $8,788.31	Professional		$1,279.58	$1,616.12	$8,788.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.00 / $10,710.50 / $22,790.97	Facility		$3,908.00	$10,710.50	$22,790.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,668.03 / $2,103.75 / $4,161.83	Professional		$1,668.03	$2,103.75	$4,161.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $7,431.40	Facility		$65.90	$100.00	$7,431.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,084.90 / $1,553.12 / $3,551.42	Professional		$1,084.90	$1,553.12	$3,551.42
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 $1,469.38 / $1,968.93 / $4,414.63	Professional		$1,469.38	$1,968.93	$4,414.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $954.95 / $1,445.12 / $2,421.21	Professional		$954.95	$1,445.12	$2,421.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,612.79 / $2,234.42 / $4,016.68	Professional		$1,612.79	$2,234.42	$4,016.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $31,969.76 / $32,690.72	Facility		$55.00	$31,969.76	$32,690.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,422.40 / $14,422.40 / $15,865.65	Professional		$14,422.40	$14,422.40	$15,865.65
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 $1,709.65 / $2,162.86 / $3,111.42	Facility		$1,709.65	$2,162.86	$3,111.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,469.38 / $2,042.08 / $4,551.47	Professional		$1,469.38	$2,042.08	$4,551.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,452.98 / $5,452.98 / $5,452.98	Professional		$5,452.98	$5,452.98	$5,452.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,241.43 / $1,718.91 / $2,144.33	Professional		$1,241.43	$1,718.91	$2,144.33
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,722.00 / $29,312.00	Facility		$7,696.00	$13,722.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,290.78 / $1,664.27 / $3,620.86	Professional		$1,290.78	$1,664.27	$3,620.86