Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $9,727.00 / $20,135.00	Facility		$2,843.00	$9,727.00	$20,135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,505.54 / $1,817.81 / $9,158.96	Professional		$1,505.54	$1,817.81	$9,158.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,446.00 / $12,345.00 / $35,597.00	Facility		$4,446.00	$12,345.00	$35,597.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,961.23 / $2,471.80 / $4,973.50	Professional		$1,961.23	$2,471.80	$4,973.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $8,114.52	Facility		$64.40	$100.00	$8,114.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,334.41 / $1,914.71 / $4,351.18	Professional		$1,334.41	$1,914.71	$4,351.18
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 $1,692.27 / $2,200.00 / $4,683.34	Professional		$1,692.27	$2,200.00	$4,683.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,104.24 / $1,671.05 / $2,472.80	Professional		$1,104.24	$1,671.05	$2,472.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,656.96 / $2,288.77 / $4,127.57	Professional		$1,656.96	$2,288.77	$4,127.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $22,771.10 / $23,305.92	Facility		$55.00	$22,771.10	$23,305.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,574.00 / $18,574.00 / $18,574.00	Professional		$18,574.00	$18,574.00	$18,574.00
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 $1,874.58 / $2,268.14 / $3,335.69	Facility		$1,874.58	$2,268.14	$3,335.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,735.09 / $2,299.52 / $4,729.99	Professional		$1,735.09	$2,299.52	$4,729.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,682.96 / $5,682.96 / $5,682.96	Professional		$5,682.96	$5,682.96	$5,682.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,435.51 / $1,805.89 / $2,189.23	Professional		$1,435.51	$1,805.89	$2,189.23
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 $1,421.56 / $1,877.64 / $3,902.93	Professional		$1,421.56	$1,877.64	$3,902.93